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

Dva Healthcare Renal Care Inc - NPI 1326001959

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Dyersburg, Tennessee. 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 1326001959. The last update date is 2021-02-17.

Dva Healthcare Renal Care Inc's current location address is 1575 Parr Ave, Dyersburg, Tennessee. You can contact this provider via phone number 7312865184 and fax number 7312860174. The mailing address for Dva Healthcare Renal Care Inc is 1575 Parr Ave, Dyersburg, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 1575 Parr Ave, Dyersburg, Tennessee
Phone Number 7312865184
Fax Number 7312860174
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel D John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1326001959
Provider Enumeration Date 2006-04-06
Last Updated Date 2021-02-17

Provider Mailing Address Detail

Address 1575 Parr Ave
City Dyersburg
State Tennessee (TN)
Post Code 380243151
Phone Number 7312865184
Fax Number 7312860174

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 44
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
202308359 MO --
505217604 MO --
220633 MS --
3900010400 KY --
442533 TN --

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FAQs about Dva Healthcare Renal Care Inc

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

The Dva Healthcare Renal Care Inc has been issued the NPI (National Provider Identifier) 1326001959, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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: 1575 Parr Ave, Dyersburg, TN, 380243151.

What is Dva Healthcare Renal Care Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dva Healthcare Renal Care Inc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1326001959 to Dva Healthcare Renal Care Inc?

The Centers for Medicare & Medicaid Services assigned the 1326001959 to Dva Healthcare Renal Care Inc on 2006-04-06.

When was the information regarding Dva Healthcare Renal Care Inc most recently updated?

The details pertaining to the Dva Healthcare Renal Care Inc, including its address, specialty, and other relevant information, were last refreshed on 2021-02-17.

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