Dva Renal Healthcare Inc in Douglas - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1376511550
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Douglas, 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 1376511550. The last update date is 2020-06-02.
Dva Renal Healthcare Inc's current location address is 190 Westside Dr Ste A, Douglas, Georgia. You can contact this provider via phone number 9123843439 and fax number 9123836324. The mailing address for Dva Renal Healthcare Inc is 190 Westside Dr Ste A, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 190 Westside Dr Ste A, Douglas, Georgia |
| Phone Number | 9123843439 |
| Fax Number | 9123836324 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1376511550 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2020-06-02 |
Provider Mailing Address Detail
| Address | 190 Westside Dr Ste A |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315333534 |
| Phone Number | 9123843439 |
| Fax Number | 9123836324 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001018 |
|
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 |
|---|---|---|---|
| 000407932B | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dva Renal Healthcare Inc?
The Dva Renal Healthcare Inc has been issued the NPI (National Provider Identifier) 1376511550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Dva Renal Healthcare Inc's physical address?
The Dva Renal Healthcare Inc is physically located at 190 Westside Dr Ste A, in the city of Douglas, GA, with the postal code 315333534.
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 Dva Renal Healthcare Inc receive its 1376511550 assignment from the Centers for Medicare & Medicaid Services?
The Dva Renal Healthcare Inc was assigned its 1376511550 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 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 2020-06-02.