Blue Ridge Dialysis

LBN: Lantell Dialysis Llc
Blue Ridge Dialysis is an health care organization with primary practice located at 8608 E 63Rd St , Kansas City MO 64133-4725. 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. Lantell Dialysis Llc can be contacted via phone (816) 353-6100, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
8608 E 63Rd St Kansas City MO 64133-4725
Phone: (816) 353-6100
Fax: (816) 353-6106
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1033602990
LBN Legal business name Lantell Dialysis Llc
DBA Doing business as Blue Ridge Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2018
Last updated Mar 12th, 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 1033602990 NPPES
Missouri MEDICAID 500064987

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