DVA RENAL HEALTHCARE INC (NPI# 1437112026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437112026 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE INC |
Other Organization Name | MEMPHIS CENTRAL DIALYSIS |
Practice Address |
889 Dr Ml King Jr Ave Memphis TN 38126-1928 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 9015251719 |
Practice Fax Number | 9015250341 |
Mailing Telephone | 6153204514 |
Mailing Fax Number | 8665949961 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2020-06-03 |
Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 |
114 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202020921 | 05 | |
TN | 0442573 | 05 | |
MS | 00220603 | 05 | |
AR | 122406134 | 05 | |
MD | 202020921 | 05 | |
MO | 502928013 | 05 |
Other Name | Type Code |
---|---|
Memphis Central 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 |
889 DR ML KING JR AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38126-1928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427287184 | Odessa A. Williamson | Social Worker | 694 Williams St., Memphis, TN 38126 | 2009-07-02 |
1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
1679797062 | Janice Rene Smith | Counselor | 427 Linden Avenue, Memphis, TN 38126 | 2007-04-13 |
1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
1598989709 | Rhonda L. Mccloude | Counselor | 427 Linden Ave, Memphis, TN 38126 | 2007-04-12 |
1366502148 | Sharikia S Harris | Dentist | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-12-11 |
1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
1275785537 | Odessa's Foster Care Home, Inc. | Foster Care Agency | 694 Williams, Memphis, TN 38126-0001 | 2008-10-17 |
1508072760 | Lamarcus Wingate | Student in an Organized Health Care Education/Training Program | 255 S Dunlap St # 230, Memphis, TN 38126-1801 | 2007-05-15 |
1801014287 | Tanisha Katie Rivers | Counselor | 427 Linden Ave # Ave4nue, Memphis, TN 38126-2023 | 2007-04-23 |
Find all providers in zip 38126 |
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 |
---|---|---|---|---|
1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
1114411964 | Burman Dialysis LLC | Clinic/Center | 4031 Austin Peay Highway, Memphis, TN 38128-2503 | 2018-06-15 |
1063937241 | Cahaba Dialysis, LLC | Clinic/Center | 2926 Lamar Ave Ste 101, Memphis, TN 38114-5614 | 2017-08-08 |
1477091767 | Deschutes Dialysis LLC | Clinic/Center | 5247 Airways Blvd, Memphis, TN 38116-9401 | 2017-02-07 |
1578000352 | Bio-medical Applications of Tennessee, Inc | Clinic/Center | 6460 Mount Moriah Extended, Suite 101, Memphis, TN 38115-3841 | 2017-01-31 |
1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
1407237456 | Fresenius Medical Care South Airways, LLC | Clinic/Center | 5484 Airways Blvd, Memphis, TN 38116-9402 | 2015-06-16 |
1306258744 | Wellbound of Memphis LLC | Clinic/Center | 780 Truse Pkwy, Suite 102, Memphis, TN 38117-5361 | 2014-05-20 |
1427469634 | Satellite Healthcare Chickasaw Gardens LLC | Clinic/Center | 2980 Poplar Avenue, Memphis, TN 38111-5637 | 2014-05-12 |
Find all providers in MEMPHIS |
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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.