Tuscaloosa University Dialysis

LBN: Dva Healthcare Of Tuscaloosa Llc
Tuscaloosa University Dialysis is an health care organization with primary practice located at 220 15Th St , Tuscaloosa AL 35401-3523. 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 Tuscaloosa Llc can be contacted via phone (205) 345-6004, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
220 15Th St Tuscaloosa AL 35401-3523
Phone: (205) 345-6004
Fax: (205) 345-5071
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X S6301 Alabama

Profile Details

NPI number 1003889171
LBN Legal business name Dva Healthcare Of Tuscaloosa Llc
DBA Doing business as Tuscaloosa University Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 17th, 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 1003889171 NPPES
Alabama MEDICAID DIA2502D

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