DVA RENAL HEALTHCARE INC (NPI# 1164728408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164728408 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE INC |
Other Organization Name | SOUTHPOINT DIALYSIS |
Practice Address |
415 W Nc Hwy 54 Durham NC 27713-7516 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 9195445536 |
Practice Fax Number | 9195445667 |
Mailing Telephone | 6153204593 |
Mailing Fax Number | 8002935872 |
Enumeration Date | 2011-02-03 |
Last Update Date | 2019-08-16 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
Is Organization Subpart | N |
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 |
---|---|---|---|
NC | 3402683 | 05 |
Other Name | Type Code |
---|---|
Southpoint Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
1700844859 | Dva Renal Healthcare Inc | Clinic/Center | 1800 Timberwood Blvd, Ste C, Charlottesville, VA 22911-7544 | 2006-05-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
Street Address |
415 W NC HWY 54 |
City | DURHAM |
State | NC |
Zip Code | 27713-7516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
Find all providers in zip 27713 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
1164938395 | Total Renal Care of North Carolina LLC | Clinic/Center | 3607 Witherspoon Blvd, Durham, NC 27707-6853 | 2017-12-26 |
1477909133 | Total Renal Care, Inc. | Clinic/Center | 4021 Stirrup Creek Dr, Suite 400, Durham, NC 27703-9352 | 2016-05-11 |
1710214648 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3516 Tricenter Blvd., Durham, NC 27713-1848 | 2009-11-13 |
1952413767 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1209 S Briggs Ave, Durham, NC 27703-5047 | 2006-08-31 |
1427160241 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1507 W Pettigrew St, Durham, NC 27705-4821 | 2006-08-31 |
1518079334 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 4016 Freedom Lake Dr # S-100, Durham, NC 27704-2156 | 2006-08-31 |
1992750475 | Independent Nephrology Services, Inc. | Clinic/Center | 4206 N Roxboro St, Suite 130b, Durham, NC 27704-1826 | 2006-05-23 |
1275592602 | Dva Renal Healthcare Inc | Clinic/Center | 4307 Western Park Pl, Durham, NC 27705-1204 | 2006-03-23 |
Find all providers in DURHAM |
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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.