Gettysburg Dialysis

LBN: Mason - Dixon Dialysis Facilities Inc
Gettysburg Dialysis is an health care organization with primary practice located at 26 Springs Ave Ste. C, Gettysburg PA 17325-1717. 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. Mason - Dixon Dialysis Facilities Inc can be contacted via phone (717) 337-9434, or through Usilton, Thomas O. via phone (770) 541-7922.

Contact Information

Primary practice address
26 Springs Ave Ste. C Gettysburg PA 17325-1717
Phone: (717) 337-9434
Fax: (717) 337-3668
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O.
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1841252897
LBN Legal business name Mason - Dixon Dialysis Facilities Inc
DBA Doing business as Gettysburg Dialysis
Authorized official Usilton, Thomas O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 3rd, 2008 - about 18 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 1841252897 NPPES
Pennsylvania MEDICAID 01443390

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