Boaz Dialysis

LBN: Dva Healthcare Renal Care Inc
Boaz Dialysis is an health care organization with primary practice located at 16 Central Henderson Rd , Boaz AL 35957-5922. 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 (256) 840-5931, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
16 Central Henderson Rd Boaz AL 35957-5922
Phone: (256) 840-5931
Fax: (256) 840-1951
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 S4802 Alabama

Profile Details

NPI number 1518930890
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Boaz Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518930890 NPPES
Alabama MEDICAID DIA2594D

Popular Providers