Lake St Louis Dialysis

LBN: Dva Healthcare Renal Care Inc
Lake St Louis Dialysis is an health care organization with primary practice located at 200 Brevco Plz Ste 201 , Lake St Louis MO 63367. 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 (636) 561-4799, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
200 Brevco Plz Ste 201 Lake St Louis MO 63367
Phone: (636) 561-4799
Fax: (636) 561-4533
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1952362519
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Lake St Louis Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 22nd, 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 1952362519 NPPES
Missouri MEDICAID 501537849

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