Debaliviere Dialysis
LBN: Dva Washington University Healthcare Of Greater St. Louis Llc
Debaliviere Dialysis is an health care organization with primary practice located at 324 De Baliviere Ave , Saint Louis MO 63112-1804. 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 Washington University Healthcare Of Greater St. Louis Llc can be contacted via phone (314) 367-9111, or through Wey, Samuel via phone (615) 341-6641.
Contact Information
Primary practice address
324 De Baliviere Ave
Saint Louis MO 63112-1804
Phone: (314) 367-9111
Fax: (314) 367-9248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1669434544 |
|---|---|
| LBN Legal business name | Dva Washington University Healthcare Of Greater St. Louis Llc |
| DBA Doing business as | Debaliviere Dialysis |
| Authorized official | Wey, Samuel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669434544 | NPPES |
| Kansas | MEDICAID | 200569640A | |
| Kansas | MEDICAID | 502928005 |
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