Provo Kidney Care Llc

LBN: Provo Kidney Care Llc
Provo Kidney Care Llc is an health care organization with primary practice located at 920 Winter St , Waltham MA 02451-1521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Provo Kidney Care Llc can be contacted via phone (480) 639-7186, or through Vp, Pamela via phone (480) 639-7186.

Contact Information

Primary practice address
920 Winter St Waltham MA 02451-1521
Phone: (480) 639-7186
Fax: (602) 798-8267
Website:
Map and Directions
Authorized official contact:
Name: Vp, Pamela
Phone: (480) 639-7186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 001 Utah

Profile Details

NPI number 1972056893
LBN Legal business name Provo Kidney Care Llc
DBA Doing business as
Authorized official Vp, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2016
Last updated Jul 27th, 2016 - about 10 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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