Oak Street Dialysis

LBN: Dva Healthcare Renal Care Inc
Oak Street Dialysis is an health care organization with primary practice located at 2704 N Oak St Bldg H, Valdosta GA 31602-1723. 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 (229) 247-4857, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2704 N Oak St Bldg H Valdosta GA 31602-1723
Phone: (229) 247-4857
Fax: (229) 245-8658
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 ESRD001147 Georgia

Profile Details

NPI number 1366410417
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Oak Street Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 20th, 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 1366410417 NPPES
Georgia MEDICAID 000410143A

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