Branford Dialysis

LBN: Dva Renal Healthcare Inc
Branford Dialysis is an health care organization with primary practice located at 249 W Main St , Branford CT 06405-4048. 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 (203) 481-8531, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
249 W Main St Branford CT 06405-4048
Phone: (203) 481-8531
Fax: (203) 481-8557
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 0266 Connecticut

Profile Details

NPI number 1174598981
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Branford Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 16th, 2023 - about 2 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 1174598981 NPPES
Connecticut MEDICAID 004200333

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