Woodland Park Dialysis Center Llc

LBN: Woodland Park Dialysis Center Llc
Woodland Park Dialysis Center Llc is an health care organization with primary practice located at 1225 Mcbride Ave , Woodland Park NJ 07424-2540. 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. Woodland Park Dialysis Center Llc can be contacted via phone (973) 890-2394, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
1225 Mcbride Ave Woodland Park NJ 07424-2540
Phone: (973) 890-2394
Fax: (973) 890-2649
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

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

Profile Details

NPI number 1942517073
LBN Legal business name Woodland Park Dialysis Center Llc
DBA Doing business as
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2010
Last updated Jan 10th, 2023 - about 3 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 1942517073 NPPES
New Jersey MEDICAID 0266485

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