<Unavail>

LBN: West Elk Grove Dialysis Llc
<Unavail> is an health care organization with primary practice located at 2208 Kausen Dr Ste 100, Elk Grove CA 95758-7174. 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. West Elk Grove Dialysis Llc can be contacted via phone (916) 683-5992, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
2208 Kausen Dr Ste 100 Elk Grove CA 95758-7174
Phone: (916) 683-5992
Fax: (916) 683-6025
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 1427242080
LBN Legal business name West Elk Grove Dialysis Llc
DBA Doing business as <Unavail>
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2007
Last updated Oct 7th, 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 1427242080 NPPES
California MEDICAID 1427242080

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