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

Dva Healthcare Renal Care Inc - NPI 1447212451

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in St Matthews, South Carolina. 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 1447212451. The last update date is 2007-07-11.

Dva Healthcare Renal Care Inc's current location address is 602 N F R Huff Dr, St Matthews, South Carolina. You can contact this provider via phone number 8036557758 and fax number 8036557764. The mailing address for Dva Healthcare Renal Care Inc is 602 N F R Huff Dr, St Matthews, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 602 N F R Huff Dr, St Matthews, South Carolina
Phone Number 8036557758
Fax Number 8036557764
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1447212451
Provider Enumeration Date 2006-04-05
Last Updated Date 2007-07-11

Provider Mailing Address Detail

Address 602 N F R Huff Dr
City St Matthews
State South Carolina (SC)
Post Code 291359596
Phone Number 8036557758
Fax Number 8036557764

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No ERD066
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
425623 SC --

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FAQs about Dva Healthcare Renal Care Inc

What is the Dva Healthcare Renal Care Inc's 1447212451?

The Dva Healthcare Renal Care Inc's NPI (National Provider Identifier) Number is 1447212451. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Dva Healthcare Renal Care Inc is physically located?

The Dva Healthcare Renal Care Inc is situated at the following address: 602 N F R Huff Dr, St Matthews, SC 291359596.

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

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

On what date did Dva Healthcare Renal Care Inc receive its 1447212451 assignment from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc was assigned its 1447212451 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Dva Healthcare Renal Care Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dva Healthcare Renal Care Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-11.

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