University Dialysis Center

LBN: University Dialysis Center, Llc
University Dialysis Center is an health care organization with primary practice located at 300 University Ave Ste #103, Sacramento CA 95825-6518. 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. University Dialysis Center, Llc can be contacted via phone (916) 920-0877, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
300 University Ave Ste #103 Sacramento CA 95825-6518
Phone: (916) 920-0877
Fax: (916) 920-1931
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1124081195
LBN Legal business name University Dialysis Center, Llc
DBA Doing business as University Dialysis Center
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1124081195 NPPES
California MEDICAID ZZR02530G

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