Melbourne Dialysis

LBN: Dva Renal Healthcare, Inc.
Melbourne Dialysis is an health care organization with primary practice located at 4175 W New Haven Ave Ste 15, Melbourne FL 32904-1997. 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 (321) 956-6252, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
4175 W New Haven Ave Ste 15 Melbourne FL 32904-1997
Phone: (321) 956-6252
Fax: (321) 956-6464
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 1104893221
LBN Legal business name Dva Renal Healthcare, Inc.
DBA Doing business as Melbourne Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 16th, 2021 - about 4 years 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 1104893221 NPPES
Florida MEDICAID 890569000

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