Broken Arrow Dialysis Center
LBN: Renal Treatment Centers West Inc
Broken Arrow Dialysis Center is an health care organization with primary practice located at 1710 N 9Th St , Broken Arrow OK 74012-8283. 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 West Inc can be contacted via phone (918) 355-0657, or through Hilger, James K via phone (253) 382-1919.
Contact Information
Primary practice address
1710 N 9Th St
Broken Arrow OK 74012-8283
Phone: (918) 355-0657
Fax: (918) 355-2800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1629030036 |
|---|---|
| LBN Legal business name | Renal Treatment Centers West Inc |
| DBA Doing business as | Broken Arrow Dialysis Center |
| Authorized official | Hilger, James K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Feb 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629030036 | NPPES |
| Oklahoma | MEDICAID | 100741140G |
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