Renal Center Of Fort Dodge

LBN: Renal Center Of Fort Dodge, Llc
Renal Center Of Fort Dodge is an health care organization with primary practice located at 117 S 25Th St , Fort Dodge IA 50501-4357. 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. Renal Center Of Fort Dodge, Llc can be contacted via phone (515) 206-6583, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
117 S 25Th St Fort Dodge IA 50501-4357
Phone: (515) 206-6583
Fax: (515) 206-6606
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1023397718
LBN Legal business name Renal Center Of Fort Dodge, Llc
DBA Doing business as Renal Center Of Fort Dodge
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2011
Last updated Jan 16th, 2024 - about last year

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 1023397718 NPPES
Iowa MEDICAID 1023397718

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