Lake Wales Dialysis Center

LBN: Dva Healthcare Renal Care, Inc.
Lake Wales Dialysis Center is an health care organization with primary practice located at 1125 Bryn Mawr Ave , Lake Wales FL 33853-4333. 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 (863) 679-9851, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
1125 Bryn Mawr Ave Lake Wales FL 33853-4333
Phone: (863) 679-9851
Fax: (863) 679-9856
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1750358172
LBN Legal business name Dva Healthcare Renal Care, Inc.
DBA Doing business as Lake Wales Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Feb 6th, 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 1750358172 NPPES
Florida MEDICAID 200518217

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