Florence Dialysis

LBN: Dva Renal Healthcare Inc
Florence Dialysis is an health care organization with primary practice located at 422 E Dr Hicks Blvd Ste B , Florence AL 35630-5730. 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 (256) 764-5050, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
422 E Dr Hicks Blvd Ste B Florence AL 35630-5730
Phone: (256) 764-5050
Fax: (256) 767-3728
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 S3901 Alabama

Profile Details

NPI number 1457324220
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Florence Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 14th, 2024 - about 9 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 1457324220 NPPES
Tennessee MEDICAID 0012529
Tennessee MEDICAID 00220710
Tennessee MEDICAID 1457324220

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