Mcdonough Dialysis Center

LBN: Total Renal Care Inc
Mcdonough Dialysis Center is an health care organization with primary practice located at 114 Dunn St , Mcdonough GA 30253-2347. 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 (770) 898-4999, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
114 Dunn St Mcdonough GA 30253-2347
Phone: (770) 898-4999
Fax: (770) 898-0059
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 ESRD001157 Georgia

Profile Details

NPI number 1952370892
LBN Legal business name Total Renal Care Inc
DBA Doing business as Mcdonough Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 22nd, 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 1952370892 NPPES
Georgia MEDICAID 000828462A

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