Gwu Southeast Dialysis

LBN: Dva Renal Healthcare Inc
Gwu Southeast Dialysis is an health care organization with primary practice located at 3857A Pennsylvania Ave Se , Washington DC 20020. 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 (202) 581-9440, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
3857A Pennsylvania Ave Se Washington DC 20020
Phone: (202) 581-9440
Fax: (202) 581-9446
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

Profile Details

NPI number 1851367031
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Gwu Southeast Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 11th, 2024 - 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 1851367031 NPPES
Virginia MEDICAID 004927664
Virginia MEDICAID 339431000
Virginia MEDICAID 029552300

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