DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DVA HEALTHCARE RENAL CARE INC

MEDICARE: DVA HEALTHCARE RENAL CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterE2563MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386604932
Entity Type Code : Organization
Provider Name (Legal Business Name) : DVA HEALTHCARE RENAL CARE INC
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : L&C DEPT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number : 615-320-4214
Fax Number : 866-944-3352
Provider Business Practice Location Address
First Line : 9211 STUART LN FL 4
Second Line :
City : CLINTON
State : MD
Zip : 20735-2712
Country : US
Telephone Number : 301-856-6602
Fax Number : 301-856-6623
Authorized Official
Title or Position : CHIEF ACCOUNTING OFFICER
Name : JOHN WINSTEL
Credential :
Telephone Number : 253-733-4500
Provider Enumeration Date : 03/27/2006
Last Update Date : 02/27/2020

Similar Medicare Providers

1396602025 — CLINTON NURSING AND REHAB CENTER LLC
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax:
1295732006 — XAVIER-CLINTON LLC
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax: 301-868-5883
1437223427 — CLINTON NURSING, LLC
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax:
1609249689 — SELECT REHABILITATION
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax: 240-318-2350
1710408885 — OLIVIA C ANAELE-NWOGU NURSE PRACTITIONER
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax:
1689155525 — JASMINE ATCHISON
Practice Location Address:
9211 STUART LN
CLINTON, MD
20735-2712
Practice Phone: 301-868-3600
Practice Fax:

Directions to “DVA HEALTHCARE RENAL CARE INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.