DCA OF WARSAW LLC (NPI# 1124081963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124081963 |
Entity Type | Organization |
Organization Name | DCA OF WARSAW LLC |
Other Organization Name | U S RENAL CARE WARSAW |
Practice Address |
4709 Richmond Road Warsaw Village Shopping Center Warsaw VA 22572 |
Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
Practice Telephone | 8043334444 |
Practice Fax Number | 8043330400 |
Mailing Telephone | 8709315400 |
Mailing Fax Number | 8709315418 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2013-10-25 |
Authorized Official Name | MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U S RENAL CARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010054486 | 05 | |
VA | ANTHEM | 136730 | 01 |
VA | CAREFIRST | 136730 | 01 |
Other Name | Type Code |
---|---|
U S Renal Care Warsaw | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DCA OF WARSAW LLC | 1344 Ashton Road Suite 201, Hanover, Maryland 21076 |
Street Address |
4709 RICHMOND ROAD WARSAW VILLAGE SHOPPING CENTER |
City | WARSAW |
State | VA |
Zip Code | 22572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780059840 | The Long Advocacy Group | PACE Provider Organization | 483 Main Street, Warsaw, VA 22572 | 2015-12-01 |
1194022814 | Richmond County School Board | Local Education Agency (LEA) | 460 Main St., Warsaw, VA 22572 | 2011-02-15 |
1003053158 | Richmond County Board of Supervisors | Ambulance | 101 Court Circle, Warsaw, VA 22572 | 2009-01-12 |
1497945620 | Mathieu W Sisk | Chiropractor | 111 Hamilton Blvd, Warsaw, VA 22572 | 2007-07-25 |
1942320247 | Clayton E Neal | Social Worker | 414 Main St., Warsaw, VA 22572 | 2007-03-30 |
1700988029 | Northern Neck Physical Therapy Limited Partnership | Physical Therapist | 6128 Richmond Road, Warsaw, VA 22572 | 2006-09-05 |
1285671818 | Sarah Sherrod Taliaferro | Physical Therapist | 6128 Richmond Rd, Warsaw, VA 22572 | 2006-06-01 |
1689624660 | Richmond County Rescue Squad | Ambulance | 6674 Richmond Rd, Warsaw, VA 22572 | 2006-05-11 |
1447208012 | Irina P Chandler | Dentist | 253 Main Street, Warsaw, VA 22572 | 2006-05-05 |
1336709831 | Susan Lamprecht | Psychologist | 92 Walnut St, Warsaw, VA 22572 | 2019-06-17 |
Find all providers in zip 22572 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
1457772410 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 3334 Lake City Hwy, Warsaw, IN 46580-3923 | 2013-12-18 |
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1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
1306492848 | Renal Treatment Centers- Mid-atlantic, Inc. | Clinic/Center | 145 Holt Garrison Pkwy Ste 340, Danville, VA 24540-5956 | 2019-08-12 |
1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
1811454226 | Mohansic Dialysis, LLC | Clinic/Center | 8123 Richmond Hwy, Alexandria, VA 22309-3613 | 2019-02-22 |
1720552110 | Shawano Dialysis, LLC | Clinic/Center | 13859 Village Place Dr, Midlothian, VA 23114-3503 | 2019-01-18 |
1528533171 | Gansett Dialysis, LLC | Clinic/Center | 8605 Westwood Center Dr Ste 100, Vienna, VA 22182-2231 | 2018-10-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.