North Conroe Dialysis

LBN: Mendocino Dialysis Llc
North Conroe Dialysis is an health care organization with primary practice located at 3211 Interstate 45 N Ste 500 , Conroe TX 77304-2187. 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. Mendocino Dialysis Llc can be contacted via phone (936) 756-9400, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
3211 Interstate 45 N Ste 500 Conroe TX 77304-2187
Phone: (936) 756-9400
Fax: (936) 756-9450
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 1770875395
LBN Legal business name Mendocino Dialysis Llc
DBA Doing business as North Conroe Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated Mar 6th, 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 1770875395 NPPES
Texas MEDICAID 3356958-01

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