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Contact Information

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
1050 W ELM ST
STE 160
HERMISTON, OR97838
 Phone: 541-564-1810
 Fax: 541-564-1812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

NPI # 1093775645
LBN Legal business name NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Authorized official JOHN STRACK - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2006
Last updated 01/16/2008 - About 18 years ago
Identifiers
OR Medicaid 277872
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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