West Tallahassee Dialysis

LBN: Dva Healthcare Renal Care, Inc.
West Tallahassee Dialysis is an health care organization with primary practice located at 5857 W Tennessee St , Tallahassee FL 32304-9218. 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 (850) 350-0002, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
5857 W Tennessee St Tallahassee FL 32304-9218
Phone: (850) 350-0002
Fax: (850) 350-0120
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1154399491
LBN Legal business name Dva Healthcare Renal Care, Inc.
DBA Doing business as West Tallahassee Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Jan 22nd, 2024 - about 2 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 1154399491 NPPES
Georgia MEDICAID 000855709B
Georgia MEDICAID 000855709A
Georgia MEDICAID 200518202

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