Brookline Dialysis

LBN: Dva Healthcare Of Massachusetts, Inc.
Brookline Dialysis is an health care organization with primary practice located at 330 Brookline Ave Building Gz-5, Boston MA 02215-5400. 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) 667-3211, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
330 Brookline Ave Building Gz-5 Boston MA 02215-5400
Phone: (617) 667-3211
Fax: (617) 667-7649
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1295794121
LBN Legal business name Dva Healthcare Of Massachusetts, Inc.
DBA Doing business as Brookline Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1295794121 NPPES
Massachusetts MEDICAID 1318063

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