DVA HEALTHCARE OF PENNSYLVANIA LLC


Address: 3823 Market St, Philadelphia, PA 19104-3145
Phone: 2152220671

DVA HEALTHCARE OF PENNSYLVANIA LLC (NPI# 1659334985) 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) 1659334985
Entity Type Organization
Organization Name DVA HEALTHCARE OF PENNSYLVANIA LLC
Other Organization Name PHILADELPHIA PMC DIALYSIS
Practice Address 3823 Market St
Philadelphia
PA 19104-3145
Mailing Address 5200 Virginia Way
L & C Dept
Brentwood
TN 37027-7569
Practice Telephone 2152220671
Practice Fax Number 2158236949
Mailing Telephone 6153416410
Mailing Fax Number 8886628259
Enumeration Date 2006-04-08
Last Update Date 2020-08-27
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
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8452601 05
PA 1007451930008 05
PA 1007451930024 05

Other Provider/Organization Names

Other Name Type Code
Philadelphia PMC Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841253176 Dva Healthcare of Pennsylvania LLC Clinic/Center 4126 Walnut St, Philadelphia, PA 19104-3511 2006-04-08
1124080825 Dva Healthcare of Pennsylvania LLC Clinic/Center 248 Elm Dr, Waynesburg, PA 15370-8269 2006-04-06
1669434593 Dva Healthcare of Pennsylvania LLC Clinic/Center 101 9th St, Mckeesport, PA 15132-3953 2006-04-05
1104888932 Dva Healthcare of Pennsylvania LLC Clinic/Center 4312 Penn Ave, Pittsburgh, PA 15224-1310 2006-04-05
1457313231 Dva Healthcare of Pennsylvania LLC Clinic/Center 32 Steubenville Pike, Paris, PA 15021-8529 2006-04-05
1639131477 Dva Healthcare of Pennsylvania LLC Clinic/Center 170 N Henderson Rd, King of Prussia, PA 19406-2155 2006-04-05
1144282021 Dva Healthcare of Pennsylvania LLC Clinic/Center 3701 Market St, Ste 100, Philadelphia, PA 19104-5503 2006-04-05

Office Location

Street Address 3823 MARKET ST
City PHILADELPHIA
State PA
Zip Code 19104-3145

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

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
1295344307 Isd Renal Inc Clinic/Center 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 2020-07-24
1225647332 Isd Renal Inc Clinic/Center 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 2020-07-24
1336758549 Isd Renal Inc Clinic/Center 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 2020-07-24
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1306322516 Isd Renal, Inc Clinic/Center 6501 Roosevelt Blvd, Ste 6581, Philadelphia, PA 19149-2918 2018-07-11
1093229809 Northeast Philadelphia Dialysis Center LLC Clinic/Center 9815 Roosevelt Blvd Ste 1-a, Philadelphia, PA 19114-1035 2017-12-01
1134640949 Isd Renal Inc Clinic/Center 1236 N 26th St, Philadelphia, PA 19121-4602 2017-06-30
1851812069 Total Renal Care Inc Clinic/Center 235 W Chelten Ave, Philadelphia, PA 19144-3802 2017-06-28
1710411707 Rcg Mississippi, Inc. Clinic/Center 1100 Central Drive, Philadelphia, MS 39350 2017-04-17
1609249986 Bio-medical Applications of Pennsylvania, Inc. Clinic/Center 301 W Chelten Ave, Philadelphia, PA 19144-3804 2015-11-09
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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