Southcrest Dialysis

LBN: Southcrest Dialysis Llc
Southcrest Dialysis is an health care organization with primary practice located at 10921 E 81St St , Tulsa OK 74133-4227. 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. Southcrest Dialysis Llc can be contacted via phone (918) 249-8402, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
10921 E 81St St Tulsa OK 74133-4227
Phone: (918) 249-8402
Fax: (918) 459-8794
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1881657443
LBN Legal business name Southcrest Dialysis Llc
DBA Doing business as Southcrest Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 9th, 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 1881657443 NPPES
Oklahoma MEDICAID 200053010A

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