Dva Renal Healthcare Inc in Memphis - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1023071545
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Memphis, Tennessee. 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 1023071545. The last update date is 2023-10-05.
Dva Renal Healthcare Inc's current location address is 1205 Marlin Rd, Memphis, Tennessee. You can contact this provider via phone number 9013466637 and fax number 9013467884. The mailing address for Dva Renal Healthcare Inc is 1205 Marlin Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 1205 Marlin Rd, Memphis, Tennessee |
| Phone Number | 9013466637 |
| Fax Number | 9013467884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1023071545 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 1205 Marlin Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381165812 |
| Phone Number | 9013466637 |
| Fax Number | 9013467884 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 136 |
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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 |
|---|---|---|---|
| 202575213 | MO | -- | |
| 202575213 | MD | -- | |
| 152749734 | AR | -- | |
| 5820307 | MS | -- | |
| 500431309 | MO | -- | |
| 442649 | TN | -- |
Post Comment/ Review Below
What is the Dva Renal Healthcare Inc's 1023071545?
The Dva Renal Healthcare Inc's NPI (National Provider Identifier) Number is 1023071545. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dva Renal Healthcare Inc is geographically located?
The Dva Renal Healthcare Inc is physically situated at the following location: 1205 Marlin Rd, Memphis, TN, 381165812.
What is Dva Renal Healthcare Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dva Renal Healthcare Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Dva Renal Healthcare Inc receive its 1023071545 assignment from the Centers for Medicare & Medicaid Services?
The Dva Renal Healthcare Inc was assigned its 1023071545 by the Centers for Medicare & Medicaid Services on 2006-04-07.
As of what date were the details related to Dva Renal Healthcare Inc most recently updated or revised?
The information pertaining to Dva Renal Healthcare Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-05.