Triad Dialysis Center

LBN: Triad Dialysis Center Of Wake Forest University
Triad Dialysis Center is an health care organization with primary practice located at 4370 Regency Dr , High Point NC 27265-9400. 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. Triad Dialysis Center Of Wake Forest University can be contacted via phone (336) 454-0076, or through Hales, Terry L via phone (336) 716-3003.

Contact Information

Primary practice address
4370 Regency Dr High Point NC 27265-9400
Fax: (336) 454-0231
Website:
Authorized official contact:
Name: Hales, Terry L

Health care specialties

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

Profile Details

NPI number 1740267681
LBN Legal business name Triad Dialysis Center Of Wake Forest University
DBA Doing business as Triad Dialysis Center
Authorized official Hales, Terry L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2005
Last updated Aug 15th, 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 1740267681 NPPES
North Carolina Other 00050 BCBS-NC
North Carolina MEDICAID 3402599 BCBS-NC

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