Southeast Renal Associates Pa

LBN: Southeast Renal Associates Pa
Southeast Renal Associates Pa is an health care organization with primary practice located at 2301 W Morehead St , Charlotte NC 28208-5178. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southeast Renal Associates Pa can be contacted via phone (704) 333-4217, or through Huneycutt, Jennifer via phone (704) 927-1755.

Contact Information

Primary practice address
2301 W Morehead St Charlotte NC 28208-5178
Phone: (704) 333-4217
Fax: (704) 927-1767
Website:
Map and Directions
Authorized official contact:
Name: Huneycutt, Jennifer
Phone: (704) 927-1755

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1073697553
LBN Legal business name Southeast Renal Associates Pa
DBA Doing business as
Authorized official Huneycutt, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 20th, 2008 - about 18 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 1073697553 NPPES
North Carolina Other 0109V BCBS OF NC
North Carolina MEDICAID NPA650 BCBS OF NC
North Carolina MEDICAID 890109V BCBS OF NC

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