Derenne Dialysis

LBN: Dva Renal Healthcare Inc
Derenne Dialysis is an health care organization with primary practice located at 5303 Montgomery St , Savannah GA 31405-5138. 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) 352-1354, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
5303 Montgomery St Savannah GA 31405-5138
Phone: (912) 352-1354
Fax: (912) 352-7489
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T. AO
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001069 Georgia

Profile Details

NPI number 1467421453
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Derenne Dialysis
Authorized official Wey, Samuel T. AO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 7th, 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 1467421453 NPPES
Georgia MEDICAID 000893153M
Georgia MEDICAID 890574600
Georgia MEDICAID ER0001

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