Dva Healthcare Renal Care Inc in Hinesville - End-stage Renal Disease (esrd) Treatment
Dva Healthcare Renal Care Inc - NPI 1962470195
Dva Healthcare Renal Care Inc is a End-stage Renal Disease (esrd) Treatment in Hinesville, 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 1962470195. The last update date is 2021-01-12.
Dva Healthcare Renal Care Inc's current location address is 522 Elma G Miles Pkwy, Hinesville, Georgia. You can contact this provider via phone number 9123684850 and fax number 9123687247. The mailing address for Dva Healthcare Renal Care Inc is 522 Elma G Miles Pkwy, Hinesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Healthcare Renal Care Inc |
|---|---|
| Address | 522 Elma G Miles Pkwy, Hinesville, Georgia |
| Phone Number | 9123684850 |
| Fax Number | 9123687247 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1962470195 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 522 Elma G Miles Pkwy |
|---|---|
| City | Hinesville |
| State | Georgia (GA) |
| Post Code | 313134021 |
| Phone Number | 9123684850 |
| Fax Number | 9123687247 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001148 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11D0687785 | GA | CLIA WAIVER | |
| 000411386A | GA | -- |
Post Comment/ Review Below
What is the unique identifier 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) 1962470195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dva Healthcare Renal Care Inc is geographically located?
The Dva Healthcare Renal Care Inc is physically situated at the following location: 522 Elma G Miles Pkwy, Hinesville, GA, 313134021.
What is Dva Healthcare Renal Care Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dva Healthcare Renal Care Inc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962470195 to Dva Healthcare Renal Care Inc?
The Centers for Medicare & Medicaid Services originally issued the 1962470195 to Dva Healthcare Renal Care Inc on 2006-03-14.
When was the information related to Dva Healthcare Renal Care Inc most recently updated or refreshed?
The details pertaining to the Dva Healthcare Renal Care Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-12.