Davita Tidewater - Virginia Beach, Llc in Virginia Beach - End-stage Renal Disease (esrd) Treatment
Davita Tidewater - Virginia Beach, Llc - NPI 1689605008
Davita Tidewater - Virginia Beach, Llc is a End-stage Renal Disease (esrd) Treatment in Virginia Beach, Virginia. Davita Tidewater - Virginia Beach, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Davita Tidewater - Virginia Beach, Llc is 1689605008. The last update date is 2021-12-23.
Davita Tidewater - Virginia Beach, Llc's current location address is 1800 Camelot Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7574816879 and fax number 7574960187. The mailing address for Davita Tidewater - Virginia Beach, Llc is 1800 Camelot Dr, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Davita Tidewater - Virginia Beach, Llc |
|---|---|
| Address | 1800 Camelot Dr, Virginia Beach, Virginia |
| Phone Number | 7574816879 |
| Fax Number | 7574960187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1689605008 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 1800 Camelot Dr |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234542440 |
| Phone Number | 7574816879 |
| Fax Number | 7574960187 |
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 |
|---|---|---|---|
| 1689605008 | VA | -- |
Post Comment/ Review Below
What is the Davita Tidewater - Virginia Beach, Llc's 1689605008?
The Davita Tidewater - Virginia Beach, Llc's NPI (National Provider Identifier) Number is 1689605008. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Davita Tidewater - Virginia Beach, Llc located?
The Davita Tidewater - Virginia Beach, Llc is located at 1800 Camelot Dr, Virginia Beach, VA 234542440.
What is the area of specialization for Davita Tidewater - Virginia Beach, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Davita Tidewater - Virginia Beach, Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689605008 to Davita Tidewater - Virginia Beach, Llc?
The Centers for Medicare & Medicaid Services assigned the 1689605008 to Davita Tidewater - Virginia Beach, Llc on 2006-07-05.
As of what date were the Davita Tidewater - Virginia Beach, Llc's details last updated?
The information pertaining to the Davita Tidewater - Virginia Beach, Llc, including its address, specialty, and other details, was most recently updated on 2021-12-23.