Dva Healthcare Of Tuscaloosa Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Dva Healthcare Of Tuscaloosa Llc - NPI 1336112143
Dva Healthcare Of Tuscaloosa Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Dva Healthcare Of Tuscaloosa Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dva Healthcare Of Tuscaloosa Llc is 1336112143. The last update date is 2023-12-04.
Dva Healthcare Of Tuscaloosa Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204268 and fax number 8772380567. The mailing address for Dva Healthcare Of Tuscaloosa Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Healthcare Of Tuscaloosa Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204268 |
| Fax Number | 8772380567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP LICENSU |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1336112143 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204268 |
| Fax Number | 8772380567 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | S3201 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DIA2550D | AL | -- |
Post Comment/ Review Below
What is the Dva Healthcare Of Tuscaloosa Llc's unique identification number?
The Dva Healthcare Of Tuscaloosa Llc has been assigned the NPI (National Provider Identifier) Number 1336112143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dva Healthcare Of Tuscaloosa Llc's physical address?
The Dva Healthcare Of Tuscaloosa Llc is physically located at 5200 Virginia Way, in the city of Brentwood, TN, with the postal code 370277569.
What is Dva Healthcare Of Tuscaloosa Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dva Healthcare Of Tuscaloosa Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
When did Dva Healthcare Of Tuscaloosa Llc receive its 1336112143 assignment?
The Dva Healthcare Of Tuscaloosa Llc was assigned its 1336112143 on 2006-02-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Dva Healthcare Of Tuscaloosa Llc last refreshed?
The information related to the Dva Healthcare Of Tuscaloosa Llc, including its address, specialty, and other relevant details, was last updated on 2023-12-04.