Davita Tidewater - Virginia Beach, Llc in Virginia Beach - End-stage Renal Disease (esrd) Treatment
Davita Tidewater - Virginia Beach, Llc - NPI 1710066428
Davita Tidewater - Virginia Beach, Llc is a End-stage Renal Disease (esrd) Treatment in Virginia Beach, Virginia. Davita Tidewater - Virginia Beach, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Davita Tidewater - Virginia Beach, Llc is 1710066428. The last update date is 2020-08-22.
Davita Tidewater - Virginia Beach, Llc's current location address is 1800 Camelot Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7574816879 and fax number 7574960187. The mailing address for Davita Tidewater - Virginia Beach, Llc is 1800 Camelot Dr, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Davita Tidewater - Virginia Beach, Llc |
|---|---|
| Address | 1800 Camelot Dr, Virginia Beach, Virginia |
| Phone Number | 7574816879 |
| Fax Number | 7574960187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VICE PR |
|---|---|
| Authorized Official Name | Usilton O Thomas |
| Telephone Number | 7705417922 |
NPI Number Detail
| NPI Number | 1710066428 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1800 Camelot Dr |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234542440 |
| Phone Number | 7574816879 |
| Fax Number | 7574960187 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Davita Tidewater - Virginia Beach, Llc by the Centers for Medicare & Medicaid Services?
The Davita Tidewater - Virginia Beach, Llc has been assigned the NPI (National Provider Identifier) 1710066428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Davita Tidewater - Virginia Beach, Llc is located?
The Davita Tidewater - Virginia Beach, Llc is situated at the following address: 1800 Camelot Dr, Virginia Beach, VA, 234542440.
What is Davita Tidewater - Virginia Beach, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Davita Tidewater - Virginia Beach, Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710066428 to Davita Tidewater - Virginia Beach, Llc?
The Davita Tidewater - Virginia Beach, Llc received its 1710066428 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information related to Davita Tidewater - Virginia Beach, Llc most recently updated or refreshed?
The details pertaining to the Davita Tidewater - Virginia Beach, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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