Fort Myers Dialysis
LBN: Dva Healthcare Renal Care Inc
Fort Myers Dialysis is an health care organization with primary practice located at 4220 Executive Cir Ste 38, Fort Myers FL 33916-8055. 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 (239) 274-3681, or through Wey, Samuel T. via phone (615) 341-6641.
Contact Information
Primary practice address
4220 Executive Cir Ste 38
Fort Myers FL 33916-8055
Phone: (239) 274-3681
Fax: (239) 274-6168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1255308722 |
|---|---|
| LBN Legal business name | Dva Healthcare Renal Care Inc |
| DBA Doing business as | Fort Myers Dialysis |
| Authorized official | Wey, Samuel T. AO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255308722 | NPPES |
| Florida | MEDICAID | 200518206 |
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