<Unavail>

LBN: Bowan Dialysis Llc
<Unavail> is an health care organization with primary practice located at 330 E Beltline Ave Ne Ste 210, Grand Rapids MI 49506-1267. 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. Bowan Dialysis Llc can be contacted via phone (616) 285-7081, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
330 E Beltline Ave Ne Ste 210 Grand Rapids MI 49506-1267
Phone: (616) 285-7081
Fax: (616) 285-7096
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 1285072447
LBN Legal business name Bowan Dialysis Llc
DBA Doing business as <Unavail>
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2013
Last updated May 14th, 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 1285072447 NPPES
Michigan MEDICAID 1285072447

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