Dva Renal Healthcare Inc in Alton - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1154381697
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Alton, Illinois. 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 1154381697. The last update date is 2021-04-22.
Dva Renal Healthcare Inc's current location address is 309 Homer Adams Pkwy, Alton, Illinois. You can contact this provider via phone number 6184620186 and fax number 6184620213. The mailing address for Dva Renal Healthcare Inc is 309 Homer Adams Pkwy, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 309 Homer Adams Pkwy, Alton, Illinois |
| Phone Number | 6184620186 |
| Fax Number | 6184620213 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1154381697 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | 309 Homer Adams Pkwy |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620025929 |
| Phone Number | 6184620186 |
| Fax Number | 6184620213 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the Dva Renal Healthcare Inc's unique identification number?
The Dva Renal Healthcare Inc has been assigned the NPI (National Provider Identifier) Number 1154381697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Dva Renal Healthcare Inc is physically located?
The Dva Renal Healthcare Inc is physically situated at the following address: 309 Homer Adams Pkwy, Alton, IL, 620025929.
What is the Dva Renal Healthcare Inc's specialty and taxonomy code?
The Dva Renal Healthcare Inc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154381697 to Dva Renal Healthcare Inc?
The Centers for Medicare & Medicaid Services assigned the 1154381697 to Dva Renal Healthcare Inc on 2006-03-27.
When was the information related to Dva Renal Healthcare Inc most recently updated or refreshed?
The details pertaining to the Dva Renal Healthcare Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-04-22.