Plymouth Dialysis

LBN: Dva Healthcare Of Massachusetts, Inc
Plymouth Dialysis is an health care organization with primary practice located at 45 Resnick Rd , Plymouth MA 02360-4844. 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 (508) 747-5444, or through Usiltion, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
45 Resnick Rd Plymouth MA 02360-4844
Phone: (508) 747-5444
Fax: (508) 747-5331
Website:
Map and Directions
Authorized official contact:
Name: Usiltion, Thomas O
Phone: (770) 541-7922

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X EA1A Massachusetts

Profile Details

NPI number 1760441745
LBN Legal business name Dva Healthcare Of Massachusetts, Inc
DBA Doing business as Plymouth Dialysis
Authorized official Usiltion, 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 1760441745 NPPES
Massachusetts MEDICAID 1311352

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