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

Dva Healthcare Renal Care Inc - NPI 1336112598

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Northport, Alabama. 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 1336112598. The last update date is 2023-11-21.

Dva Healthcare Renal Care Inc's current location address is 400 Mcfarland Blvd Ste B-2, Northport, Alabama. You can contact this provider via phone number 6592396174 and fax number 6592396190. The mailing address for Dva Healthcare Renal Care Inc is 400 Mcfarland Blvd Ste B-2, Northport, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 400 Mcfarland Blvd Ste B-2, Northport, Alabama
Phone Number 6592396174
Fax Number 6592396190
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP LICENSU
Authorized Official Name Wey T Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1336112598
Provider Enumeration Date 2006-02-08
Last Updated Date 2023-11-21

Provider Mailing Address Detail

Address 400 Mcfarland Blvd Ste B-2
City Northport
State Alabama (AL)
Post Code 354763371
Phone Number 6592396174
Fax Number 6592396190

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No S6303
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
DIA2570D AL --

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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) 1336112598 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 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: 400 Mcfarland Blvd Ste B-2, Northport, AL, 354763371.

What is the Dva Healthcare Renal Care Inc's specialty and taxonomy code?

The Dva Healthcare Renal Care Inc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

When did Dva Healthcare Renal Care Inc receive its 1336112598 assignment?

The Dva Healthcare Renal Care Inc was assigned its 1336112598 on 2006-02-08, which is the date when this unique identifier was issued to the organization.

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 2023-11-21.

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