Dva Healthcare Renal Care Inc in Vallejo - End-stage Renal Disease (esrd) Treatment

Dva Healthcare Renal Care Inc - NPI 1053386912

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Vallejo, California. Dva Healthcare Renal Care Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dva Healthcare Renal Care Inc is 1053386912. The last update date is 2007-08-14.

Dva Healthcare Renal Care Inc's current location address is 121 Hospital Dr, Vallejo, California. You can contact this provider via phone number 7075539174 and fax number 7075539678. The mailing address for Dva Healthcare Renal Care Inc is 121 Hospital Dr, Vallejo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 121 Hospital Dr, Vallejo, California
Phone Number 7075539174
Fax Number 7075539678
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GROUP VICE
Authorized Official Name Usilton O Thomas
Telephone Number 7705417922

NPI Number Detail

NPI Number 1053386912
Provider Enumeration Date 2006-02-22
Last Updated Date 2007-08-14

Provider Mailing Address Detail

Address 121 Hospital Dr
City Vallejo
State California (CA)
Post Code 945892562
Phone Number 7075539174
Fax Number 7075539678

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
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
CDC70011F CA --

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FAQs about Dva Healthcare Renal Care Inc

What is the unique provider identifier assigned to Dva Healthcare Renal Care Inc?

The Dva Healthcare Renal Care Inc has been issued the NPI (National Provider Identifier) 1053386912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Dva Healthcare Renal Care Inc is geographically located?

The Dva Healthcare Renal Care Inc is physically situated at the following location: 121 Hospital Dr, Vallejo, CA, 945892562.

What is the Dva Healthcare Renal Care Inc's area of specialization and corresponding taxonomy classification?

The Dva Healthcare Renal Care Inc's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053386912 to Dva Healthcare Renal Care Inc?

The Centers for Medicare & Medicaid Services originally issued the 1053386912 to Dva Healthcare Renal Care Inc on 2006-02-22.

When was the information related to Dva Healthcare Renal Care Inc most recently updated or refreshed?

The details pertaining to the Dva Healthcare Renal Care Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-14.

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