Philadelphia Pmc Dialysis

LBN: Dva Healthcare Of Pennsylvania Llc
Philadelphia Pmc Dialysis is an health care organization with primary practice located at 3823 Market St , Philadelphia PA 19104-3145. 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 Pennsylvania Llc can be contacted via phone (215) 222-0671, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
3823 Market St Philadelphia PA 19104-3145
Phone: (215) 222-0671
Fax: (215) 823-6949
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 1659334985
LBN Legal business name Dva Healthcare Of Pennsylvania Llc
DBA Doing business as Philadelphia Pmc Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2006
Last updated Nov 9th, 2023 - 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 1659334985 NPPES
Pennsylvania MEDICAID 1007451930008
Pennsylvania MEDICAID 8452601
Pennsylvania MEDICAID 1007451930024

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