Grants Pass Ii Dialysis

LBN: Star Dialysis Llc
Grants Pass Ii Dialysis is an health care organization with primary practice located at 1055 Redwood Ave , Grants Pass OR 97527-5525. 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. Star Dialysis Llc can be contacted via phone (541) 479-0545, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1055 Redwood Ave Grants Pass OR 97527-5525
Phone: (541) 479-0545
Fax: (541) 479-4271
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 17-0097 Oregon

Profile Details

NPI number 1952740672
LBN Legal business name Star Dialysis Llc
DBA Doing business as Grants Pass Ii Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2013
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952740672 NPPES
Oregon MEDICAID 500669206

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