Dva Healthcare Renal Care Inc in Brentwood - End-stage Renal Disease (esrd) Treatment
Dva Healthcare Renal Care Inc - NPI 1689640419
Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Brentwood, 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 1689640419. The last update date is 2023-08-31.
Dva Healthcare Renal Care Inc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204214 and fax number 8669443352. The mailing address for Dva Healthcare Renal Care Inc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Healthcare Renal Care Inc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204214 |
| Fax Number | 8669443352 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1689640419 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2023-08-31 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204214 |
| Fax Number | 8669443352 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 250 |
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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 |
|---|---|---|---|
| 4161303 | CT | -- | |
| 250 | CT | STATE LICENSE |
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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 1689640419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dva Healthcare Renal Care Inc located?
The Dva Healthcare Renal Care Inc is located at 5200 Virginia Way, Brentwood, TN 370277569.
What is Dva Healthcare Renal Care Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dva Healthcare Renal Care Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did Dva Healthcare Renal Care Inc receive its 1689640419 assignment from the Centers for Medicare & Medicaid Services?
The Dva Healthcare Renal Care Inc was assigned its 1689640419 on 2006-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dva Healthcare Renal Care Inc's details last updated?
The information pertaining to the Dva Healthcare Renal Care Inc, including its address, specialty, and other details, was most recently updated on 2023-08-31.