North Orangeburg Dialysis

LBN: Dva Healthcare Renal Care Inc
North Orangeburg Dialysis is an health care organization with primary practice located at 124 Fire Tower Rd , Orangeburg SC 29118-1401. 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 (803) 531-6202, or through Wey, Samuel T via phone (012) 061-5203.

Contact Information

Primary practice address
124 Fire Tower Rd Orangeburg SC 29118-1401
Fax: (803) 534-5263
Website:
Authorized official contact:
Name: Wey, Samuel T

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ERD-0023 South Carolina

Profile Details

NPI number 1093777146
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as North Orangeburg Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 25th, 2024 - 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 1093777146 NPPES
New York MEDICAID 01808319
New York MEDICAID 422508

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