Windham Dialysis Center

LBN: Total Renal Care Inc
Windham Dialysis Center is an health care organization with primary practice located at 375 Tuckie Rd Ste C, North Windham CT 06256-1345. 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 (860) 456-1677, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
375 Tuckie Rd Ste C North Windham CT 06256-1345
Fax: (860) 450-8403
Website:
Authorized official contact:
Name: Wey, Samuel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 0278 Connecticut

Profile Details

NPI number 1295776656
LBN Legal business name Total Renal Care Inc
DBA Doing business as Windham Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 1st, 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 1295776656 NPPES
Connecticut MEDICAID 004270310

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