SNG - LEAGUE CITY DIALYSIS LP – NPI #1366745879
Clinic/Center

SNG - LEAGUE CITY DIALYSIS LP is an AHC clinic located in LEAGUE CITY, TX. NPPES has assigned the NPI number 1366745879 to SNG - LEAGUE CITY DIALYSIS LP on December 06, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SNG - LEAGUE CITY DIALYSIS LP below.

NPI Profile for
SNG - LEAGUE CITY DIALYSIS LP

NPI Number
1366745879
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SNG - LEAGUE CITY DIALYSIS LP
Primary location
2785 GULF FWY S STE 145
LEAGUE CITY, TX 77573-4996
Phone: (832) 340-2404 Fax: (832) 340-2408
Mailing address
1000 W CANNON ST
FORT WORTH, TX 76104-3029
Phone: (817) 725-7900 Fax: (682) 207-1030
Organization Subpart
No
Authorized Official
KINAM MARTIN
CHIEF OPERATIONS OFFICER
Phone: (817) 725-7900
Updated
Identifiers

Identifiers for SNG - LEAGUE CITY DIALYSIS LP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFACILITY LICENSETX110079
MEDICAIDTX364697801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.