Dva Healthcare Southwest Ohio Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Dva Healthcare Southwest Ohio Llc - NPI 1588628846
Dva Healthcare Southwest Ohio Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Dva Healthcare Southwest Ohio Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dva Healthcare Southwest Ohio Llc is 1588628846. The last update date is 2023-11-03.
Dva Healthcare Southwest Ohio Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6152383051 and fax number 8002468346. The mailing address for Dva Healthcare Southwest Ohio Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Healthcare Southwest Ohio Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6152383051 |
| Fax Number | 8002468346 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, LICENS |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1588628846 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2023-11-03 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6152383051 |
| Fax Number | 8002468346 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 0171DC |
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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 |
|---|---|---|---|
| 3900018700 | KY | -- | |
| 2039163 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dva Healthcare Southwest Ohio Llc by the Centers for Medicare & Medicaid Services?
The Dva Healthcare Southwest Ohio Llc has been issued the NPI (National Provider Identifier) 1588628846 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dva Healthcare Southwest Ohio Llc?
The Dva Healthcare Southwest Ohio Llc is situated at 5200 Virginia Way, in the city of Brentwood, state of TN, with the zip code 370277569.
What is the Dva Healthcare Southwest Ohio Llc's area of specialization and corresponding taxonomy classification?
The Dva Healthcare Southwest Ohio Llc's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did Dva Healthcare Southwest Ohio Llc receive its 1588628846 assignment from the Centers for Medicare & Medicaid Services?
The Dva Healthcare Southwest Ohio Llc was assigned its 1588628846 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dva Healthcare Southwest Ohio Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dva Healthcare Southwest Ohio Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-03.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX