Edge River Dialysis

LBN: Shelling Dialysis Llc
Edge River Dialysis is an health care organization with primary practice located at 1197 S Redondo Center Dr , Yuma AZ 85365-2036. 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. Shelling Dialysis Llc can be contacted via phone (928) 329-4340, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1197 S Redondo Center Dr Yuma AZ 85365-2036
Phone: (928) 329-4340
Fax: (928) 783-5018
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 1356745236
LBN Legal business name Shelling Dialysis Llc
DBA Doing business as Edge River Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2014
Last updated Jun 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356745236 NPPES
Arizona MEDICAID 087768

Popular Providers