Southern Lane Dialysis
LBN: Dva Renal Healthcare Inc
Southern Lane Dialysis is an health care organization with primary practice located at 1840 Southern Ln , Decatur GA 30033-4033. 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 (404) 325-8884, or through Winstel, John via phone (253) 733-4501.
Contact Information
Primary practice address
1840 Southern Ln
Decatur GA 30033-4033
Phone: (404) 325-8884
Fax: (404) 325-8879
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | ESRD001004 | Georgia |
Profile Details
NPI number | 1770551905 |
---|---|
LBN Legal business name | Dva Renal Healthcare Inc |
DBA Doing business as | Southern Lane Dialysis |
Authorized official | Winstel, John |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Apr 1st, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770551905 | NPPES |
Georgia | MEDICAID | 000622476C |
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