Jackson Dialysis

LBN: Renal Treatment Centers-Illinois Inc.
Jackson Dialysis is an health care organization with primary practice located at 234 W Louis Glick Hwy , Jackson MI 49201-1326. 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 (517) 841-1712, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
234 W Louis Glick Hwy Jackson MI 49201-1326
Phone: (517) 841-1712
Fax: (517) 841-1724
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 1669850863
LBN Legal business name Renal Treatment Centers-Illinois Inc.
DBA Doing business as Jackson Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2015
Last updated Jun 4th, 2024 - about 2 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 1669850863 NPPES
Michigan MEDICAID 1952362469

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