Southern Maryland Dialysis
LBN: Dva Healthcare Renal Care Inc
Southern Maryland Dialysis is an health care organization with primary practice located at 9211 Stuart Ln Fl 4 , Clinton MD 20735-2712. 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 (301) 856-6602, or through Winstel, John via phone (253) 733-4500.
Contact Information
Primary practice address
9211 Stuart Ln Fl 4
Clinton MD 20735-2712
Phone: (301) 856-6602
Fax: (301) 856-6623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | E2563 | Maryland |
Profile Details
| NPI number | 1386604932 |
|---|---|
| LBN Legal business name | Dva Healthcare Renal Care Inc |
| DBA Doing business as | Southern Maryland Dialysis |
| Authorized official | Winstel, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Feb 27th, 2020 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386604932 | NPPES |
| District of Columbia | MEDICAID | 033655800 | |
| District of Columbia | MEDICAID | 002125633 | |
| District of Columbia | MEDICAID | 724400200 |
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