Dva Renal Healthcare Inc in Savannah - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1205804309
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Savannah, 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 1205804309. The last update date is 2023-12-07.
Dva Renal Healthcare Inc's current location address is 11706 Mercy Blvd Ste 9, Savannah, Georgia. You can contact this provider via phone number 9129616006 and fax number 9129619257. The mailing address for Dva Renal Healthcare Inc is 11706 Mercy Blvd Ste 9, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 11706 Mercy Blvd Ste 9, Savannah, Georgia |
| Phone Number | 9129616006 |
| Fax Number | 9129619257 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, LICENS |
|---|---|
| Authorized Official Name | Wey T. Samuel |
| Credentials | AO |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1205804309 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 11706 Mercy Blvd Ste 9 |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314191751 |
| Phone Number | 9129616006 |
| Fax Number | 9129619257 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001082 |
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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 |
|---|---|---|---|
| ER0003 | SC | -- | |
| 000893153K | GA | -- | |
| 890572000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1205804309, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dva Renal Healthcare Inc's facilities are situated?
The facilities of Dva Renal Healthcare Inc are physically located at the following address: 11706 Mercy Blvd Ste 9, Savannah, GA, 314191751.
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 Dva Renal Healthcare Inc receive its 1205804309 assignment from the Centers for Medicare & Medicaid Services?
The Dva Renal Healthcare Inc was assigned its 1205804309 on 2006-03-14, 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 details pertaining to Dva Renal Healthcare Inc last refreshed?
The information related to the Dva Renal Healthcare Inc, including its address, specialty, and other relevant details, was last updated on 2023-12-07.
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