Effingham Dialysis

LBN: Dva Renal Healthcare Inc
Effingham Dialysis is an health care organization with primary practice located at 904 Medical Park Dr Suite 1, Effingham IL 62401-2193. 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 (217) 342-9558, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
904 Medical Park Dr Suite 1 Effingham IL 62401-2193
Phone: (217) 342-9558
Fax: (217) 342-1049
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 N/A Illinois

Profile Details

NPI number 1245290782
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Effingham Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 13th, 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 1245290782 NPPES
Ohio MEDICAID 2300487

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