Liberty Dialysis Hawaii-Hawaii Salt Lake

LBN: Liberty Dialysis - Hawaii Llc
Liberty Dialysis Hawaii-Hawaii Salt Lake is an health care organization with primary practice located at 4380 Lawehana St Ste 100 , Honolulu HI 96818-3129. 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. Liberty Dialysis - Hawaii Llc can be contacted via phone (808) 423-6828, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
4380 Lawehana St Ste 100 Honolulu HI 96818-3129
Phone: (808) 423-6828
Fax: (808) 422-6049
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

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

Profile Details

NPI number 1073060638
LBN Legal business name Liberty Dialysis - Hawaii Llc
DBA Doing business as Liberty Dialysis Hawaii-Hawaii Salt Lake
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2016
Last updated Oct 19th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073060638 NPPES
Hawaii Other 12-2530 PTAN

Popular Providers