Tracy Dialysis

LBN: Dva Healthcare Renal Care Inc
Tracy Dialysis is an health care organization with primary practice located at 425 W Beverly Pl Ste A, Tracy CA 95376-3086. 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 (209) 839-0398, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
425 W Beverly Pl Ste A Tracy CA 95376-3086
Phone: (209) 839-0398
Fax: (209) 839-0799
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 110000471 California

Profile Details

NPI number 1548236268
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Tracy Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated May 28th, 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 1548236268 NPPES
California MEDICAID 1548236268

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