Port Orange Dialysis

LBN: Alterra Dialysis Llc
Port Orange Dialysis is an health care organization with primary practice located at 3997 S Nova Rd Riverwood Plaza, Port Orange FL 32127-9296. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Alterra Dialysis Llc can be contacted via phone (386) 761-7961, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
3997 S Nova Rd Riverwood Plaza Port Orange FL 32127-9296
Phone: (386) 761-7961
Fax: (386) 763-2150
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Florida

Profile Details

NPI number 1568993947
LBN Legal business name Alterra Dialysis Llc
DBA Doing business as Port Orange Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Apr 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568993947 NPPES
Florida MEDICAID 10047330

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