Mt Auburn Dialysis

LBN: Dva Healthcare Southwest Ohio Llc
Mt Auburn Dialysis is an health care organization with primary practice located at 2109 Reading Rd , Cincinnati OH 45202-1417. 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 Southwest Ohio Llc can be contacted via phone (513) 784-1800, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2109 Reading Rd Cincinnati OH 45202-1417
Phone: (513) 784-1800
Fax: (513) 723-2355
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 0173DC Ohio

Profile Details

NPI number 1255395455
LBN Legal business name Dva Healthcare Southwest Ohio Llc
DBA Doing business as Mt Auburn Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 27th, 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 1255395455 NPPES
Kentucky MEDICAID 3900008800
Kentucky MEDICAID 2037996
Kentucky MEDICAID 200317420A

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