Dva Healthcare Renal Care Inc in Douglasville - End-stage Renal Disease (esrd) Treatment
Dva Healthcare Renal Care Inc - NPI 1417925561
Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Douglasville, Georgia. 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 1417925561. The last update date is 2021-10-27.
Dva Healthcare Renal Care Inc's current location address is 3899 Longview Dr, Douglasville, Georgia. You can contact this provider via phone number 7709498403 and fax number 7709498406. The mailing address for Dva Healthcare Renal Care Inc is 3899 Longview Dr, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Healthcare Renal Care Inc |
|---|---|
| Address | 3899 Longview Dr, Douglasville, Georgia |
| Phone Number | 7709498403 |
| Fax Number | 7709498406 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1417925561 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-10-27 |
Provider Mailing Address Detail
| Address | 3899 Longview Dr |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301351373 |
| Phone Number | 7709498403 |
| Fax Number | 7709498406 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001038 |
|
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 |
|---|---|---|---|
| 000411034A | GA | -- | |
| 112526 | TN | -- |
Post Comment/ Review Below
What is the Dva Healthcare Renal Care Inc's unique identification number?
The Dva Healthcare Renal Care Inc has been assigned the NPI (National Provider Identifier) Number 1417925561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Dva Healthcare Renal Care Inc?
The Dva Healthcare Renal Care Inc is physically situated at 3899 Longview Dr, in the city of Douglasville, state of GA, with the postal code 301351373.
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 was the 1417925561 assigned to Dva Healthcare Renal Care Inc?
The Dva Healthcare Renal Care Inc was issued its 1417925561 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dva Healthcare Renal Care Inc last refreshed?
The information related to the Dva Healthcare Renal Care Inc, including its address, specialty, and other relevant details, was last updated on 2021-10-27.
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