Brookline Dialysis

LBN: Dva Healthcare Of Massachusetts Inc
Brookline Dialysis is an health care organization with primary practice located at 322 Washington St , Brookline MA 02445-6850. 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. Dva Healthcare Of Massachusetts Inc can be contacted via phone (617) 734-7794, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
322 Washington St Brookline MA 02445-6850
Phone: (617) 734-7794
Fax: (617) 734-6999
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T.
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1124087150
LBN Legal business name Dva Healthcare Of Massachusetts Inc
DBA Doing business as Brookline Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Feb 12th, 2024 - about last year

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 1124087150 NPPES
Massachusetts MEDICAID 110028113B
Massachusetts MEDICAID 30009198

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