New London Dialysis

LBN: Dva Healthcare Of New London Llc
New London Dialysis is an health care organization with primary practice located at 5 Shaws Cv Ste 100, New London CT 06320-4974. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dva Healthcare Of New London Llc can be contacted via phone (860) 701-1357, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
5 Shaws Cv Ste 100 New London CT 06320-4974
Phone: (860) 701-1357
Fax: (860) 444-0802
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 0255 Connecticut

Profile Details

NPI number 1679549273
LBN Legal business name Dva Healthcare Of New London Llc
DBA Doing business as New London Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated Apr 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679549273 NPPES
Connecticut MEDICAID 004202769

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