Wilson Dialysis

LBN: Dva Renal Healthcare Inc
Wilson Dialysis is an health care organization with primary practice located at 2833 Wooten Boulevard Sw , Wilson NC 27893-8625. 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 Renal Healthcare Inc can be contacted via phone (252) 206-1471, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2833 Wooten Boulevard Sw Wilson NC 27893-8625
Phone: (252) 206-1471
Fax: (252) 206-7157
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 1033179023
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Wilson Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 7th, 2024 - about 3 months ago

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 1033179023 NPPES
North Carolina MEDICAID 3422507

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