Southgate Dialysis

LBN: Dva Healthcare Renal Care Inc
Southgate Dialysis is an health care organization with primary practice located at 14752 Northline Rd , Southgate MI 48195-2698. 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 (734) 284-0005, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
14752 Northline Rd Southgate MI 48195-2698
Phone: (734) 284-0005
Fax: (734) 284-0124
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1497717607
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Southgate Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated May 13th, 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 1497717607 NPPES
Michigan MEDICAID 1497717607
Michigan MEDICAID 2231301

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