Columbia County Dialysis

LBN: Total Renal Care, Inc.
Columbia County Dialysis is an health care organization with primary practice located at 1389 W Us Highway 90 Ste 100, Lake City FL 32055-6130. 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 (386) 466-0197, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
1389 W Us Highway 90 Ste 100 Lake City FL 32055-6130
Phone: (386) 466-0197
Fax: (386) 292-8992
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 1295154912
LBN Legal business name Total Renal Care, Inc.
DBA Doing business as Columbia County Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2014
Last updated Jul 16th, 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 1295154912 NPPES
Florida MEDICAID 014316800

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