Sandia Peak Dialysis

LBN: Chantry Dialysis, Llc
Sandia Peak Dialysis is an health care organization with primary practice located at 10410 Copper Point Way Ne , Albuquerque NM 87123-1158. 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. Chantry Dialysis, Llc can be contacted via phone (505) 299-0657, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
10410 Copper Point Way Ne Albuquerque NM 87123-1158
Phone: (505) 299-0657
Fax: (505) 299-6686
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

Profile Details

NPI number 1033634175
LBN Legal business name Chantry Dialysis, Llc
DBA Doing business as Sandia Peak Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2017
Last updated Apr 17th, 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 1033634175 NPPES
New Mexico MEDICAID 74036050

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