Philadelphia 42Nd Street Dialysis

LBN: Dva Healthcare Of Pennsylvania Llc
Philadelphia 42Nd Street Dialysis is an health care organization with primary practice located at 4126 Walnut St , Philadelphia PA 19104-3511. 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) 387-0500, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
4126 Walnut St Philadelphia PA 19104-3511
Phone: (215) 387-0500
Fax: (215) 387-6414
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1841253176
LBN Legal business name Dva Healthcare Of Pennsylvania Llc
DBA Doing business as Philadelphia 42Nd Street Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2006
Last updated Mar 16th, 2021 - 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 1841253176 NPPES
Pennsylvania MEDICAID 1007451930021

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