Oklahoma City South Dialysis

LBN: Dva Healthcare Renal Care Inc
Oklahoma City South Dialysis is an health care organization with primary practice located at 319 Sw 59Th St , Oklahoma City OK 73109-8301. 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 Renal Care Inc can be contacted via phone (405) 634-3708, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
319 Sw 59Th St Oklahoma City OK 73109-8301
Phone: (405) 634-3708
Fax: (405) 636-1211
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1124080486
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Oklahoma City South Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated May 31st, 2023 - about 3 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 1124080486 NPPES
Oklahoma MEDICAID 100757220B

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