Crestwood Dialysis

LBN: Renal Treatment Centers-Illinois Inc
Crestwood Dialysis is an health care organization with primary practice located at 9560 Watson Rd Ste A , Saint Louis MO 63126-1541. 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) 842-0322, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
9560 Watson Rd Ste A Saint Louis MO 63126-1541
Phone: (314) 842-0322
Fax: (314) 842-0351
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 1841251535
LBN Legal business name Renal Treatment Centers-Illinois Inc
DBA Doing business as Crestwood Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 19th, 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 1841251535 NPPES
Missouri MEDICAID 507297208
Missouri MEDICAID =========

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