Ivy Dialysis

LBN: Knickerbocker Dialysis Inc
Ivy Dialysis is an health care organization with primary practice located at 602 Ivy St , Elmira NY 14905-1646. 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. Knickerbocker Dialysis Inc can be contacted via phone (607) 737-4186, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
602 Ivy St Elmira NY 14905-1646
Phone: (607) 737-4186
Fax: (607) 737-4446
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 1386028843
LBN Legal business name Knickerbocker Dialysis Inc
DBA Doing business as Ivy Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2015
Last updated Oct 8th, 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 1386028843 NPPES
New York MEDICAID 04458935

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