Tahlequah Dialysis Center

LBN: Platte Dialysis Llc
Tahlequah Dialysis Center is an health care organization with primary practice located at 1373 E Boone St , Tahlequah OK 74464-3364. 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. Platte Dialysis Llc can be contacted via phone (918) 431-0665, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
1373 E Boone St Tahlequah OK 74464-3364
Phone: (918) 431-0665
Fax: (918) 431-0623
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 1740515378
LBN Legal business name Platte Dialysis Llc
DBA Doing business as Tahlequah Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2009
Last updated Aug 16th, 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 1740515378 NPPES
Oklahoma MEDICAID 200296340A

Popular Providers