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

Dva Healthcare Renal Care Inc - NPI 1568431484

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Thomaston, 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 1568431484. The last update date is 2020-09-29.

Dva Healthcare Renal Care Inc's current location address is 1065 Us Highway 19 N, Thomaston, Georgia. You can contact this provider via phone number 7066486364 and fax number 7066483505. The mailing address for Dva Healthcare Renal Care Inc is 1065 Us Highway 19 N, Thomaston, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 1065 Us Highway 19 N, Thomaston, Georgia
Phone Number 7066486364
Fax Number 7066483505
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1568431484
Provider Enumeration Date 2006-03-14
Last Updated Date 2020-09-29

Provider Mailing Address Detail

Address 1065 Us Highway 19 N
City Thomaston
State Georgia (GA)
Post Code 302862230
Phone Number 7066486364
Fax Number 7066483505

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No ESRD001115
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
000650372E GA --

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FAQs about Dva Healthcare Renal Care Inc

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 1568431484 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 street address where Dva Healthcare Renal Care Inc is physically located?

The Dva Healthcare Renal Care Inc is physically situated at the following address: 1065 Us Highway 19 N, Thomaston, GA, 302862230.

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.

On what date did Dva Healthcare Renal Care Inc receive its 1568431484 assignment from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc was assigned its 1568431484 on 2006-03-14, 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 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 2020-09-29.

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