College City Dialysis

LBN: Toltec Dialysis Llc
College City Dialysis is an health care organization with primary practice located at 2630 Donaghey Ave , Conway AR 72032-2308. 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. Toltec Dialysis Llc can be contacted via phone (501) 504-2474, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2630 Donaghey Ave Conway AR 72032-2308
Phone: (501) 504-2474
Fax: (501) 504-2611
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 1073010518
LBN Legal business name Toltec Dialysis Llc
DBA Doing business as College City Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2018
Last updated Oct 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 1073010518 NPPES
Arkansas MEDICAID 230940134

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