Dva Renal Healthcare Inc in Washington - End-stage Renal Disease (esrd) Treatment

Dva Renal Healthcare Inc - NPI 1134180680

Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Washington, Missouri. 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 1134180680. The last update date is 2023-10-06.

Dva Renal Healthcare Inc's current location address is 1112 Washington Sq, Washington, Missouri. You can contact this provider via phone number 6363908233 and fax number 6363902771. The mailing address for Dva Renal Healthcare Inc is 1112 Washington Sq, Washington, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Renal Healthcare Inc
Address 1112 Washington Sq, Washington, Missouri
Phone Number 6363908233
Fax Number 6363902771
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR DIR LIC
Authorized Official Name Wey T Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1134180680
Provider Enumeration Date 2006-03-31
Last Updated Date 2023-10-06

Provider Mailing Address Detail

Address 1112 Washington Sq
City Washington
State Missouri (MO)
Post Code 630905336
Phone Number 6363908233
Fax Number 6363902771

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
502928047 MO --

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FAQs about Dva Renal Healthcare Inc

What is the unique identifier code issued to Dva Renal Healthcare Inc by the Centers for Medicare & Medicaid Services?

The Dva Renal Healthcare Inc has been assigned the NPI (National Provider Identifier) 1134180680. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Dva Renal Healthcare Inc's physical address?

The Dva Renal Healthcare Inc is physically located at 1112 Washington Sq, in the city of Washington, MO, with the postal code 630905336.

What is Dva Renal Healthcare 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 Renal Healthcare Inc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

When was the Dva Renal Healthcare Inc's 1134180680 issued?

The Dva Renal Healthcare Inc's 1134180680 was issued on 2006-03-31.

When was the information pertaining to Dva Renal Healthcare Inc most recently updated or revised?

The details related to Dva Renal Healthcare Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-06.

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