Dva Healthcare Renal Care, Inc. in Perry - End-stage Renal Disease (esrd) Treatment

Dva Healthcare Renal Care, Inc. - NPI 1972571206

Dva Healthcare Renal Care, Inc. is a End-stage Renal Disease (esrd) Treatment in Perry, Florida. 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 1972571206. The last update date is 2022-11-29.

Dva Healthcare Renal Care, Inc.'s current location address is 118 W Main St, Perry, Florida. You can contact this provider via phone number 8505846012 and fax number 8505846040. The mailing address for Dva Healthcare Renal Care, Inc. is 118 W Main St, Perry, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Healthcare Renal Care, Inc.
Address 118 W Main St, Perry, Florida
Phone Number 8505846012
Fax Number 8505846040
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1972571206
Provider Enumeration Date 2006-03-11
Last Updated Date 2022-11-29

Provider Mailing Address Detail

Address 118 W Main St
City Perry
State Florida (FL)
Post Code 323472656
Phone Number 8505846012
Fax Number 8505846040

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
890087600 FL --

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FAQs about Dva Healthcare Renal Care, Inc.

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) 1972571206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Dva Healthcare Renal Care, Inc. is physically located?

The Dva Healthcare Renal Care, Inc. is situated at the following address: 118 W Main St, Perry, FL 323472656.

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 its 1972571206 assignment from the Centers for Medicare & Medicaid Services?

The Dva Healthcare Renal Care, Inc. was assigned its 1972571206 by the Centers for Medicare & Medicaid Services on 2006-03-11.

As of what date were the details pertaining to Dva Healthcare Renal Care, Inc. last refreshed?

The information related to the Dva Healthcare Renal Care, Inc., including its address, specialty, and other relevant details, was last updated on 2022-11-29.

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