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

Dva Healthcare Renal Care Inc - NPI 1710949847

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Greenwood, 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 1710949847. The last update date is 2022-09-21.

Dva Healthcare Renal Care Inc's current location address is 109 Overland Dr, Greenwood, South Carolina. You can contact this provider via phone number 8642276011 and fax number 8642272098. The mailing address for Dva Healthcare Renal Care Inc is 109 Overland Dr, Greenwood, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 109 Overland Dr, Greenwood, South Carolina
Phone Number 8642276011
Fax Number 8642272098
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1710949847
Provider Enumeration Date 2006-04-04
Last Updated Date 2022-09-21

Provider Mailing Address Detail

Address 109 Overland Dr
City Greenwood
State South Carolina (SC)
Post Code 296464053
Phone Number 8642276011
Fax Number 8642272098

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No ERD-0026
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
422515 SC --

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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 1710949847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Dva Healthcare Renal Care Inc's physical address?

The Dva Healthcare Renal Care Inc is physically located at 109 Overland Dr, in the city of Greenwood, SC, with the postal code 296464053.

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 the Dva Healthcare Renal Care Inc receive its 1710949847 assignment from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc was assigned its 1710949847 by the Centers for Medicare & Medicaid Services on 2006-04-04.

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 2022-09-21.

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