Ashtabula Dialysis

LBN: Dva Healthcare Renal Care Inc
Ashtabula Dialysis is an health care organization with primary practice located at 1614 W 19Th St , Ashtabula OH 44004-3036. 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 (440) 964-9777, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1614 W 19Th St Ashtabula OH 44004-3036
Phone: (440) 964-9777
Fax: (440) 964-8914
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 0440DC Ohio

Profile Details

NPI number 1932163268
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Ashtabula Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 12th, 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 1932163268 NPPES
Ohio MEDICAID 0321379
Ohio MEDICAID 1007635580123

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