Hazelwood Dialysis

LBN: Dva Renal Healthcare Inc
Hazelwood Dialysis is an health care organization with primary practice located at 637 Dunn Rd Ste 125, Hazelwood MO 63042-1757. 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 (314) 731-8039, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
637 Dunn Rd Ste 125 Hazelwood MO 63042-1757
Phone: (314) 731-8039
Fax: (314) 731-8084
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 1194786814
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Hazelwood Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 16th, 2024 - about 10 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 1194786814 NPPES
Missouri MEDICAID 505860106
Missouri MEDICAID 621323060048

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