Shrewsbury Street Dialysis

LBN: Dva Healthcare Of Massachusetts Inc
Shrewsbury Street Dialysis is an health care organization with primary practice located at 267 Shrewsbury St , Worcester MA 01604-4623. 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 (774) 530-6353, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
267 Shrewsbury St Worcester MA 01604-4623
Phone: (774) 530-6353
Fax: (774) 530-6348
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1356850242
LBN Legal business name Dva Healthcare Of Massachusetts Inc
DBA Doing business as Shrewsbury Street Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2017
Last updated Mar 15th, 2024 - about 8 months 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 1356850242 NPPES
Massachusetts MEDICAID 110028113

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