Elk Grove Dialysis

LBN: Elk Grove Dialysis Center Llc
Elk Grove Dialysis is an health care organization with primary practice located at 9281 Office Park Cir Ste 105, Elk Grove CA 95758-8069. 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. Elk Grove Dialysis Center Llc can be contacted via phone (916) 691-0480, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
9281 Office Park Cir Ste 105 Elk Grove CA 95758-8069
Phone: (916) 691-0480
Fax: (916) 691-0488
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 110000518 California

Profile Details

NPI number 1568421865
LBN Legal business name Elk Grove Dialysis Center Llc
DBA Doing business as Elk Grove Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Apr 22nd, 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 1568421865 NPPES
California MEDICAID 1568421865

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