Kerr Lake Dialysis

LBN: Dva Healthcare Renal Care Inc
Kerr Lake Dialysis is an health care organization with primary practice located at 1274 Ruin Creek Rd , Henderson NC 27537-4168. 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 (252) 431-0233, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1274 Ruin Creek Rd Henderson NC 27537-4168
Phone: (252) 431-0233
Fax: (252) 431-0252
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 North Carolina

Profile Details

NPI number 1447643408
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Kerr Lake Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Jun 11th, 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 1447643408 NPPES
North Carolina MEDICAID 1447643408

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