Crestview Hills Dialysis

LBN: Dva Renal Healthcare Inc
Crestview Hills Dialysis is an health care organization with primary practice located at 400 Centre View Blvd , Crestview Hills KY 41017-3478. 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 (859) 341-5561, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
400 Centre View Blvd Crestview Hills KY 41017-3478
Fax: (859) 341-5746
Website:
Authorized official contact:
Name: Wey, Samuel T

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 300102 Kentucky

Profile Details

NPI number 1124081252
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Crestview Hills Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 26th, 2024 - about 7 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 1124081252 NPPES
Kentucky MEDICAID 3900019500

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