Kidney Treatment Center East P A

LBN: Kidney Treatment Center East P A
Kidney Treatment Center East P A is an health care organization with primary practice located at 1608 S New Braunfels Ave , San Antonio TX 78210-2253. 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. Kidney Treatment Center East P A can be contacted via phone (210) 531-9522, or through Medola, Jessica J via phone (210) 692-1515.

Contact Information

Primary practice address
1608 S New Braunfels Ave San Antonio TX 78210-2253
Phone: (210) 531-9522
Fax: (210) 531-9817
Website:
Map and Directions
Authorized official contact:
Name: Medola, Jessica J
Phone: (210) 692-1515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 007035 Texas

Profile Details

NPI number 1699779611
LBN Legal business name Kidney Treatment Center East P A
DBA Doing business as
Authorized official Medola, Jessica J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Feb 24th, 2012 - about 14 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 1699779611 NPPES
Texas MEDICAID 0943250-01
Texas MEDICAID 0943250-02
Texas Other HH6395

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