Dialysis Access Group

LBN: Dialysis Access Group Of Wake Forest University, Llc
Dialysis Access Group is an health care organization with primary practice located at 120 Miller Street , Winston Salem NC 27103-2500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Dialysis Access Group Of Wake Forest University, Llc can be contacted via phone (336) 723-1080, or through Hales, Terry L via phone (336) 716-3003.

Contact Information

Primary practice address
120 Miller Street Winston Salem NC 27103-2500
Phone: (336) 723-1080
Fax: (336) 722-3040
Website:
Map and Directions
Authorized official contact:
Name: Hales, Terry L
Phone: (336) 716-3003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1144279001
LBN Legal business name Dialysis Access Group Of Wake Forest University, Llc
DBA Doing business as Dialysis Access Group
Authorized official Hales, Terry L
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Mar 3rd, 2015 - about 11 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 1144279001 NPPES
North Carolina MEDICAID 5916155
North Carolina MEDICAID 1144279001
North Carolina MEDICAID 5905783

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