Brunswick South Dialysis

LBN: Dva Healthcare Renal Care Inc
Brunswick South Dialysis is an health care organization with primary practice located at 2930 Springdale Rd , Brunswick GA 31520-4838. 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 (912) 267-1507, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
2930 Springdale Rd Brunswick GA 31520-4838
Phone: (912) 267-1507
Fax: (912) 267-9768
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001130 Georgia

Profile Details

NPI number 1467421370
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Brunswick South Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 24th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467421370 NPPES
Georgia MEDICAID 000650372G
Georgia MEDICAID 890063900

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