Corva Gulf Coast Dialysis Center

LBN: Corva Clinics, Llc - Gulf Coast
Corva Gulf Coast Dialysis Center is an health care organization with primary practice located at 10233 S Parker Rd Suite 300, Parker CO 80134-9314. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Corva Clinics, Llc - Gulf Coast can be contacted via phone (720) 402-3881, or through Simonsen, Jerry via phone (720) 402-3881.

Contact Information

Primary practice address
10233 S Parker Rd Suite 300 Parker CO 80134-9314
Phone: (720) 402-3881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simonsen, Jerry
Phone: (720) 402-3881

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1902159684
LBN Legal business name Corva Clinics, Llc - Gulf Coast
DBA Doing business as Corva Gulf Coast Dialysis Center
Authorized official Simonsen, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2012
Last updated Jul 26th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902159684 NPPES
Florida MEDICAID 007209200

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