West Philadelphia Dialysis

LBN: Dva Healthcare Renal Care Inc
West Philadelphia Dialysis is an health care organization with primary practice located at 7609 Lindbergh Blvd , Philadelphia PA 19153-2301. 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 Renal Care Inc can be contacted via phone (215) 937-1103, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
7609 Lindbergh Blvd Philadelphia PA 19153-2301
Fax: (215) 937-0770
Website:
Authorized official contact:
Name: Wey, Samuel

Health care specialties

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

Profile Details

NPI number 1023071222
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as West Philadelphia Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 5th, 2024 - about 5 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 1023071222 NPPES
New Jersey MEDICAID 8452903
New Jersey MEDICAID 010024625
New Jersey MEDICAID 1007635580130

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