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

Dva Healthcare Renal Care Inc - NPI 1225090376

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Bradford, Pennsylvania. 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 1225090376. The last update date is 2023-09-18.

Dva Healthcare Renal Care Inc's current location address is 665 E Main St, Bradford, Pennsylvania. You can contact this provider via phone number 8143627417 and fax number 8143626327. The mailing address for Dva Healthcare Renal Care Inc is 665 E Main St, Bradford, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 665 E Main St, Bradford, Pennsylvania
Phone Number 8143627417
Fax Number 8143626327
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR DIR LIC
Authorized Official Name Wey T Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1225090376
Provider Enumeration Date 2006-04-04
Last Updated Date 2023-09-18

Provider Mailing Address Detail

Address 665 E Main St
City Bradford
State Pennsylvania (PA)
Post Code 167011816
Phone Number 8143627417
Fax Number 8143626327

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
1007635580120 PA --
2165108 NY --

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FAQs about Dva Healthcare Renal Care Inc

What is the unique 10-digit identifier code issued to Dva Healthcare Renal Care Inc by the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc has been assigned the NPI (National Provider Identifier) 1225090376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Dva Healthcare Renal Care Inc's facilities are situated?

The facilities of Dva Healthcare Renal Care Inc are physically located at the following address: 665 E Main St, Bradford, PA, 167011816.

What is Dva Healthcare Renal Care Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dva Healthcare Renal Care Inc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1225090376 to Dva Healthcare Renal Care Inc?

The Centers for Medicare & Medicaid Services originally issued the 1225090376 to Dva Healthcare Renal Care Inc on 2006-04-04.

When was the Dva Healthcare Renal Care Inc's information last updated?

The Dva Healthcare Renal Care Inc's information was last updated on 2023-09-18.

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