Dva Renal Healthcare Inc in Brentwood - End-stage Renal Disease (esrd) Treatment
Dva Renal Healthcare Inc - NPI 1508831454
Dva Renal Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. 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 1508831454. The last update date is 2007-08-14.
Dva Renal Healthcare Inc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204435 and fax number 3302097821. The mailing address for Dva Renal Healthcare Inc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dva Renal Healthcare Inc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204435 |
| Fax Number | 3302097821 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GROUP VICE |
|---|---|
| Authorized Official Name | Usilton O Thomas |
| Telephone Number | 7705417922 |
NPI Number Detail
| NPI Number | 1508831454 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204435 |
| Fax Number | 3302097821 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC02667I | CA | -- |
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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 1508831454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dva Renal Healthcare Inc located?
The Dva Renal Healthcare Inc is located at 5200 Virginia Way, Brentwood, TN 370277569.
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.
When was the Dva Renal Healthcare Inc's 1508831454 issued?
The Dva Renal Healthcare Inc's 1508831454 was issued on 2006-02-22.
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 2007-08-14.
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