South Bend West Dialysis

LBN: Total Renal Care Inc
South Bend West Dialysis is an health care organization with primary practice located at 5660 Nimtz Pkwy , South Bend IN 46628-6205. 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 (574) 231-7570, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
5660 Nimtz Pkwy South Bend IN 46628-6205
Phone: (574) 231-7570
Fax: (574) 231-7571
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 1528477031
LBN Legal business name Total Renal Care Inc
DBA Doing business as South Bend West Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2014
Last updated Jun 20th, 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 1528477031 NPPES
Indiana MEDICAID 201281460A

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