Coastal Plains

LBN: Dva Healthcare Renal Care Inc
Coastal Plains is an health care organization with primary practice located at 209 Nc Highway 111 S , Goldsboro NC 27534-9253. 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 (919) 778-5766, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
209 Nc Highway 111 S Goldsboro NC 27534-9253
Phone: (919) 778-5766
Fax: (919) 751-7672
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 North Carolina

Profile Details

NPI number 1639695984
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Coastal Plains
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2017
Last updated Mar 8th, 2023 - 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 1639695984 NPPES
North Carolina MEDICAID 1639695984

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