West Detroit Dialysis

LBN: Renal Treatment Centers Illinois Inc
West Detroit Dialysis is an health care organization with primary practice located at 12950 W Chicago St , Detroit MI 48228-2651. 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 (313) 491-7450, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
12950 W Chicago St Detroit MI 48228-2651
Phone: (313) 491-7450
Fax: (313) 491-5977
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1265494470
LBN Legal business name Renal Treatment Centers Illinois Inc
DBA Doing business as West Detroit Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 13th, 2007 - about 16 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 1265494470 NPPES
Michigan MEDICAID 4636452
Michigan MEDICAID 1791733

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