Douglas Dialysis

LBN: Dva Renal Healthcare Inc
Douglas Dialysis is an health care organization with primary practice located at 190 Westside Dr Ste A , Douglas GA 31533-3534. 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 (912) 384-3439, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
190 Westside Dr Ste A Douglas GA 31533-3534
Phone: (912) 384-3439
Fax: (912) 383-6324
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001018 Georgia

Profile Details

NPI number 1376511550
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Douglas Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 2nd, 2020 - 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 1376511550 NPPES
Georgia MEDICAID 000407932B

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