Independent Dialysis Foundation, Inc
LBN: Independent Dialysis Foundation, Inc
Independent Dialysis Foundation, Inc is an health care organization with primary practice located at 804 Landmark Dr Suite 112, Glen Burnie MD 21061-4486. 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.
Independent Dialysis Foundation, Inc can be contacted via phone (410) 468-0900, or through Ayele, Zeke via phone (410) 468-0900.
Contact Information
Primary practice address
804 Landmark Dr Suite 112
Glen Burnie MD 21061-4486
Phone: (410) 468-0900
Fax: (410) 468-0911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | E2544R | Maryland |
Profile Details
| NPI number | 1942218797 |
|---|---|
| LBN Legal business name | Independent Dialysis Foundation, Inc |
| DBA Doing business as | |
| Authorized official | Ayele, Zeke |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 16th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942218797 | NPPES |
| West Virginia | MEDICAID | 0005759000 | |
| West Virginia | Other | 590077-01 | |
| West Virginia | Other | 21506 | |
| West Virginia | Other | 215143 | |
| West Virginia | Other | PS4 | |
| West Virginia | Other | 0704865003 | |
| West Virginia | Other | 0125608 | |
| West Virginia | MEDICAID | 01689292 |
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