Dva Renal Healthcare Inc in Springfield - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1174592174
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Springfield, Georgia. 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 1174592174. The last update date is 2021-01-29.
Dva Renal Healthcare Inc's current location address is 1451 Ga Highway 21 S Ste A, Springfield, Georgia. You can contact this provider via phone number 9127544289 and fax number 9127546564. The mailing address for Dva Renal Healthcare Inc is 1451 Ga Highway 21 S Ste A, Springfield, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 1451 Ga Highway 21 S Ste A, Springfield, Georgia |
| Phone Number | 9127544289 |
| Fax Number | 9127546564 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1174592174 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-01-29 |
Provider Mailing Address Detail
| Address | 1451 Ga Highway 21 S Ste A |
|---|---|
| City | Springfield |
| State | Georgia (GA) |
| Post Code | 313295244 |
| Phone Number | 9127544289 |
| Fax Number | 9127546564 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001022 |
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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 |
|---|---|---|---|
| ES3001 | SC | -- | |
| 000893153G | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dva Renal Healthcare Inc by the Centers for Medicare & Medicaid Services?
The Dva Renal Healthcare Inc has been issued the NPI (National Provider Identifier) 1174592174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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: 1451 Ga Highway 21 S Ste A, Springfield, GA, 313295244.
What is Dva Renal Healthcare Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dva Renal Healthcare Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that categorizes this field of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174592174 to Dva Renal Healthcare Inc?
The Centers for Medicare & Medicaid Services originally issued the 1174592174 to Dva Renal Healthcare Inc on 2006-03-14.
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 2021-01-29.