Dva Washington University Healthcare Of Greater St Louis Llc in Brentwood - End-stage Renal Disease (esrd) Treatment

Dva Washington University Healthcare Of Greater St Louis Llc - NPI 1588625032

Dva Washington University Healthcare Of Greater St Louis Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Dva Washington University Healthcare Of Greater St Louis Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dva Washington University Healthcare Of Greater St Louis Llc is 1588625032. The last update date is 2023-10-11.

Dva Washington University Healthcare Of Greater St Louis Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153416264 and fax number 8002972925. The mailing address for Dva Washington University Healthcare Of Greater St Louis Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dva Washington University Healthcare Of Greater St Louis Llc
Address 5200 Virginia Way, Brentwood, Tennessee
Phone Number 6153416264
Fax Number 8002972925
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR DIRECTO
Authorized Official Name Wey Samuel
Telephone Number 6153416641

NPI Number Detail

NPI Number 1588625032
Provider Enumeration Date 2006-03-31
Last Updated Date 2023-10-11

Provider Mailing Address Detail

Address 5200 Virginia Way
City Brentwood
State Tennessee (TN)
Post Code 370277569
Phone Number 6153416264
Fax Number 8002972925

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
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
505143602 MO --
2300450 OH --

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FAQs about Dva Washington University Healthcare Of Greater St Louis Llc

What is the unique 10-digit identifier code issued to Dva Washington University Healthcare Of Greater St Louis Llc by the Centers for Medicare & Medicaid Services?

The Dva Washington University Healthcare Of Greater St Louis Llc has been assigned the NPI (National Provider Identifier) 1588625032 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dva Washington University Healthcare Of Greater St Louis Llc?

The Dva Washington University Healthcare Of Greater St Louis Llc is physically situated at 5200 Virginia Way, in the city of Brentwood, state of TN, with the postal code 370277569.

What is Dva Washington University Healthcare Of Greater St Louis Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dva Washington University Healthcare Of Greater St Louis Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1588625032 to Dva Washington University Healthcare Of Greater St Louis Llc?

The Centers for Medicare & Medicaid Services assigned the 1588625032 to Dva Washington University Healthcare Of Greater St Louis Llc on 2006-03-31.

When was the information regarding Dva Washington University Healthcare Of Greater St Louis Llc most recently updated?

The details pertaining to the Dva Washington University Healthcare Of Greater St Louis Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-10-11.

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