DVA RENAL HEALTHCARE INC (NPI# 1417920034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417920034 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | TUCSON EAST DIALYSIS |
| Practice Address |
6420 E Broadway Blvd Ste C300 Tucson AZ 85710-3534 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 5207902775 |
| Practice Fax Number | 5207903174 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-05-14 |
| 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 |
OTC564 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 106543 | 05 |
| Other Name | Type Code |
|---|---|
| Tucson East 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 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
6420 E BROADWAY BLVD STE C300 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508249541 | Curtis Bissonette | Marriage & Family Therapist | 6420 E Broadway Blvd, Tucson, AZ 85710-3534 | 2015-07-08 |
| 1447531298 | Easter Seals Blake Foundation | Community/Behavioral Health | 6420 E Broadway Blvd, Suite B-200, Tucson, AZ 85710-3534 | 2011-09-07 |
| 1174815419 | Victoria Lindsay Cannon | Social Worker | 6420 E Broadway Blvd, B200, Tucson, AZ 85710-3534 | 2011-05-04 |
| 1124317748 | Catherine Danilo | Social Worker | 6420 E Broadway Blvd, Suite B200, Tucson, AZ 85710-3534 | 2011-04-05 |
| 1093948390 | Christina M Keszler | Chiropractor | 6420 E Broadway Blvd, Suite B102-d, Tucson, AZ 85710-3536 | 2009-09-02 |
| 1376781906 | Karen Cecile Johnston | Psychiatry & Neurology | 6420 E Broadway Blvd, Suite B302, Tucson, AZ 85710-3534 | 2009-02-04 |
| 1871669077 | John F Manfredonia | Family Medicine | 6420 E Broadway Blvd, B-200, Tucson, AZ 85710-3534 | 2006-11-28 |
| 1043265473 | Vistacare Usa, Inc. | Hospice Care, Community Based | 6420 E Broadway Blvd, Suite B-200, Tucson, AZ 85710-3534 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| 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 |
|---|---|---|---|---|
| 1740711993 | Southwest Kidney-davita Dialysis Partners, LLC | Clinic/Center | 1635 N Swan Rd, Tucson, AZ 85712-4046 | 2017-03-21 |
| 1700277928 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5555 E 5th St Ste 155, Tucson, AZ 85711-2415 | 2015-02-10 |
| 1619114501 | Rita Ranch Dialysis LLC | Clinic/Center | 7355 S Houghton Rd Ste 101, Tucson, AZ 85747-9380 | 2009-01-14 |
| 1104091743 | Total Renal Care Inc | Clinic/Center | 2901 E Grant Rd, Tucson, AZ 85716-2717 | 2008-04-24 |
| 1649442526 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 2802 S 6th Ave, Tucson, AZ 85713-4703 | 2008-03-31 |
| 1811169790 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1430 W Valencia Rd Ste 1, Tucson, AZ 85746-6001 | 2008-03-31 |
| 1740476282 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 100 W Grant Rd, Tucson, AZ 85705-5531 | 2007-09-19 |
| 1578780268 | Bio Medical Applications of Arizona LLC | Clinic/Center | 6261 N La Cholla Blvd Ste 181, Tucson, AZ 85741-3563 | 2007-04-20 |
| 1023041407 | Dialysis Clinic Inc. | Clinic/Center | 2022 E Prince Rd, Tucson, AZ 85719-2005 | 2006-07-08 |
| 1871526251 | Dialysis Clinic Inc. | Clinic/Center | 1011 E Pennsylvania St, Tucson, AZ 85714-3310 | 2006-07-08 |
| Find all providers in TUCSON | ||||
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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.