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

Dva Healthcare Renal Care Inc - NPI 1699737809

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Pryor, Oklahoma. 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 1699737809. The last update date is 2008-07-09.

Dva Healthcare Renal Care Inc's current location address is 309 E Graham Ave, Pryor, Oklahoma. You can contact this provider via phone number 9188253100 and fax number 9188253183. The mailing address for Dva Healthcare Renal Care Inc is 309 E Graham Ave, Pryor, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 309 E Graham Ave, Pryor, Oklahoma
Phone Number 9188253100
Fax Number 9188253183
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Hilger K James
Telephone Number 2533821919

NPI Number Detail

NPI Number 1699737809
Provider Enumeration Date 2006-04-04
Last Updated Date 2008-07-09

Provider Mailing Address Detail

Address 309 E Graham Ave
City Pryor
State Oklahoma (OK)
Post Code 743612434
Phone Number 9188253100
Fax Number 9188253183

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
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
100757220C OK --

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FAQs about Dva Healthcare Renal Care Inc

What is the Dva Healthcare Renal Care Inc's 1699737809?

The Dva Healthcare Renal Care Inc's NPI (National Provider Identifier) Number is 1699737809. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Dva Healthcare Renal Care Inc?

The Dva Healthcare Renal Care Inc is situated at 309 E Graham Ave, in the city of Pryor, state of OK, with the zip code 743612434.

What is Dva Healthcare Renal Care Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

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

On what date did Dva Healthcare Renal Care Inc receive its 1699737809 assignment from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc was assigned its 1699737809 on 2006-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Dva Healthcare Renal Care Inc's information last updated?

The Dva Healthcare Renal Care Inc's information was last updated on 2008-07-09.

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