DVA RENAL HEALTHCARE INC


Address: 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928
Phone: 9015251719

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 202020921 05
TN 0442573 05
MS 00220603 05
AR 122406134 05
MD 202020921 05
MO 502928013 05

Other Provider/Organization Names

Other Name Type Code
Memphis Central Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA Renal Healthcare Inc. 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 889 DR ML KING JR AVE
City MEMPHIS
State TN
Zip Code 38126-1928

Providers in the same zip code

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 Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38126

Improve Information

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Dataset Information

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.

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