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

Dva Healthcare Renal Care Inc - NPI 1952362519

Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Lake St Louis, Missouri. 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 1952362519. The last update date is 2023-08-22.

Dva Healthcare Renal Care Inc's current location address is 200 Brevco Plz Ste 201, Lake St Louis, Missouri. You can contact this provider via phone number 6365614799 and fax number 6365614533. The mailing address for Dva Healthcare Renal Care Inc is 200 Brevco Plz Ste 201, Lake St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care Inc
Address 200 Brevco Plz Ste 201, Lake St Louis, Missouri
Phone Number 6365614799
Fax Number 6365614533
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR DIRECTO
Authorized Official Name Wey Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1952362519
Provider Enumeration Date 2006-03-31
Last Updated Date 2023-08-22

Provider Mailing Address Detail

Address 200 Brevco Plz Ste 201
City Lake St Louis
State Missouri (MO)
Post Code 63367
Phone Number 6365614799
Fax Number 6365614533

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
501537849 MO --

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FAQs about Dva Healthcare Renal Care Inc

What is the unique 10-digit identification code issued to Dva Healthcare Renal Care Inc by the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc has been assigned the NPI (National Provider Identifier) 1952362519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

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: 200 Brevco Plz Ste 201, Lake St Louis, MO, 63367.

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 the Dva Healthcare Renal Care Inc receive the assignment of its 1952362519 from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care Inc was issued its 1952362519 by the Centers for Medicare & Medicaid Services on 2006-03-31.

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 2023-08-22.

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