Whitebridge Dialysis

LBN: Dva Renal Healthcare Inc
Whitebridge Dialysis is an health care organization with primary practice located at 103 White Bridge Pike Ste 6, Nashville TN 37209-4539. 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 (615) 352-5535, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
103 White Bridge Pike Ste 6 Nashville TN 37209-4539
Phone: (615) 352-5535
Fax: (615) 352-5875
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 41 Tennessee

Profile Details

NPI number 1558324095
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Whitebridge Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 22nd, 2023 - about last year

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 1558324095 NPPES
Tennessee MEDICAID 0442540
Tennessee MEDICAID 152750734
Tennessee MEDICAID 3900046800

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