Dva Renal Healthcare Inc in Southgate - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1013970110
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Southgate, Kentucky. Dva Renal Healthcare Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dva Renal Healthcare Inc is 1013970110. The last update date is 2023-10-27.
Dva Renal Healthcare Inc's current location address is 525 Alexandria Pike, Southgate, Kentucky. You can contact this provider via phone number 8594425539 and fax number 8594425587. The mailing address for Dva Renal Healthcare Inc is 525 Alexandria Pike, Southgate, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 525 Alexandria Pike, Southgate, Kentucky |
| Phone Number | 8594425539 |
| Fax Number | 8594425587 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1013970110 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2023-10-27 |
Provider Mailing Address Detail
| Address | 525 Alexandria Pike |
|---|---|
| City | Southgate |
| State | Kentucky (KY) |
| Post Code | 410713243 |
| Phone Number | 8594425539 |
| Fax Number | 8594425587 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 300121 |
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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 |
|---|---|---|---|
| 2121457 | OH | -- | |
| 3900020300 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dva Renal Healthcare Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Dva Renal Healthcare Inc has been assigned the NPI (National Provider Identifier) 1013970110. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dva Renal Healthcare Inc located?
The Dva Renal Healthcare Inc is located at 525 Alexandria Pike, Southgate, KY 410713243.
What is Dva Renal Healthcare Inc's area of expertise and its corresponding taxonomy classification?
The Dva Renal Healthcare Inc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Dva Renal Healthcare Inc receive its 1013970110 assignment from the Centers for Medicare & Medicaid Services?
The Dva Renal Healthcare Inc was assigned its 1013970110 on 2006-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dva Renal Healthcare Inc's details last updated?
The information pertaining to the Dva Renal Healthcare Inc, including its address, specialty, and other details, was most recently updated on 2023-10-27.