Daytona Beach Dialysis

LBN: Dva Healthcare Renal Care Inc
Daytona Beach Dialysis is an health care organization with primary practice located at 578 Health Blvd , Daytona Beach FL 32114-1492. 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 (386) 258-7322, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
578 Health Blvd Daytona Beach FL 32114-1492
Phone: (386) 258-7322
Fax: (386) 258-0191
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

Profile Details

NPI number 1528036050
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Daytona Beach Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 15th, 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 1528036050 NPPES
Florida MEDICAID 200516600
Florida MEDICAID 887573

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