Quentin Circle Dialysis

LBN: Cooper Dialysis Llc
Quentin Circle Dialysis is an health care organization with primary practice located at 966 Isabel Dr , Lebanon PA 17042-7482. 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. Cooper Dialysis Llc can be contacted via phone (717) 273-1026, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
966 Isabel Dr Lebanon PA 17042-7482
Phone: (717) 273-1026
Fax: (717) 277-7204
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1871977108
LBN Legal business name Cooper Dialysis Llc
DBA Doing business as Quentin Circle Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Sep 22nd, 2020 - about 6 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 1871977108 NPPES
Pennsylvania MEDICAID 1030910200001

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