Atlanta South Dialysis

LBN: Dva Renal Healthcare Inc
Atlanta South Dialysis is an health care organization with primary practice located at 3158 Se Main St , East Point GA 30344-4800. 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) 761-5593, or through Hilger, James K via phone (253) 733-4500.

Contact Information

Primary practice address
3158 Se Main St East Point GA 30344-4800
Phone: (404) 761-5593
Fax: (404) 761-0622
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 733-4500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001172 Georgia

Profile Details

NPI number 1851360572
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Atlanta South Dialysis
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Jan 24th, 2014 - about 10 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 1851360572 NPPES
Georgia MEDICAID 000879293A

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