Big Lake Dialysis

LBN: Triveno Dialysis, Llc
Big Lake Dialysis is an health care organization with primary practice located at 3240 Us Highway 441 S , Okeechobee FL 34974-6239. 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. Triveno Dialysis, Llc can be contacted via phone (863) 824-0225, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
3240 Us Highway 441 S Okeechobee FL 34974-6239
Phone: (863) 824-0225
Fax: (863) 824-0226
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1447985213
LBN Legal business name Triveno Dialysis, Llc
DBA Doing business as Big Lake Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2022
Last updated Jan 29th, 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 1447985213 NPPES
Florida MEDICAID 115951300

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