Hampton Avenue Dialysis

LBN: Renal Treatment Centers-Illinois Inc
Hampton Avenue Dialysis is an health care organization with primary practice located at 1425 Hampton Ave , Saint Louis MO 63139-3115. 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 Treatment Centers-Illinois Inc can be contacted via phone (314) 781-4022, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1425 Hampton Ave Saint Louis MO 63139-3115
Phone: (314) 781-4022
Fax: (314) 781-4063
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 1073574794
LBN Legal business name Renal Treatment Centers-Illinois Inc
DBA Doing business as Hampton Avenue Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073574794 NPPES
Missouri MEDICAID 507403301
Missouri MEDICAID =========

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