DVA HEALTHCARE RENAL CARE INC (NPI# 1639131741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639131741 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | CENTRAL BAMBERG DIALYSIS |
| Practice Address |
67 Sunset Dr Bamberg SC 29003-1181 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 8032455166 |
| Practice Fax Number | 8032453315 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-06-04 |
| 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 |
ERD-0133 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 425347 | 05 |
| Other Name | Type Code |
|---|---|
| Central Bamberg Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
67 SUNSET DR |
| City | BAMBERG |
| State | SC |
| Zip Code | 29003-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245527530 | James B. Jeffries | Pharmacist | 3518 Main Highway, Bamberg, SC 29003 | 2011-07-07 |
| 1730260118 | State of South Carolina | Public Health or Welfare | 370 Log Branch Road, Bamberg, SC 29003 | 2006-10-18 |
| 1265907224 | Sheryl Edgemon Gardner | Registered Nurse | 370 Log Branch Road, Bamberg, SC 29003 | 2018-10-05 |
| 1336566157 | Paula Boland | Public Health or Welfare | 370 Log Branch Rd, Bamberg, SC 29003 | 2014-03-19 |
| 1427117175 | Shannon T Stokes | Nurse Practitioner | 526 North St, Bamberg, SC 29003 | 2006-12-08 |
| 1679937106 | Tonie Anthony Holman Sr. | Non-emergency Medical Transport (VAN) | 142 Mcmillan St, Bamberg, SC 29003-1039 | 2016-04-11 |
| 1073560645 | Nra Bamberg South Carolina LLC | Clinic/Center | 2046 Main Hwy, Bamberg, SC 29003-1082 | 2006-05-28 |
| 1699796094 | Alton James Beaubeouf Jr. | Chiropractor | 3288 Railroad Ave, Bamberg, SC 29003-1084 | 2006-07-21 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1306378310 | Low Country Health Care System | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2017-03-29 |
| Find all providers in zip 29003 | ||||
| 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 |
|---|---|---|---|---|
| 1073560645 | Nra Bamberg South Carolina LLC | Clinic/Center | 2046 Main Hwy, Bamberg, SC 29003-1082 | 2006-05-28 |
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|---|---|---|---|---|
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| 1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
| 1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
| 1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
| Find all providers with the same taxonomy | ||||
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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.