Salt Creek Dialysis

LBN: Avertrail Dialysis Llc
Salt Creek Dialysis is an health care organization with primary practice located at 196 W North Avenue , Villa Park IL 60181-1226. 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. Avertrail Dialysis Llc can be contacted via phone (630) 279-3350, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
196 W North Avenue Villa Park IL 60181-1226
Phone: (630) 279-3350
Fax: (630) 279-3378
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1912482654
LBN Legal business name Avertrail Dialysis Llc
DBA Doing business as Salt Creek Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2018
Last updated Jun 4th, 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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