Waterbury Dialysis Center

LBN: Total Renal Care Inc
Waterbury Dialysis Center is an health care organization with primary practice located at 150 Mattatuck Heights Rd , Waterbury CT 06705-3893. 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. Total Renal Care Inc can be contacted via phone (203) 419-0488, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
150 Mattatuck Heights Rd Waterbury CT 06705-3893
Phone: (203) 419-0488
Fax: (203) 465-0197
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 1104010768
LBN Legal business name Total Renal Care Inc
DBA Doing business as Waterbury Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2007
Last updated Oct 24th, 2023 - 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 1104010768 NPPES
Connecticut MEDICAID 008001098

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