Bridgeport Dialysis

LBN: Dva Healthcare Renal Care Inc
Bridgeport Dialysis is an health care organization with primary practice located at 900 Madison Ave Fl 1, Bridgeport CT 06606-5534. 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 (203) 335-0191, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
900 Madison Ave Fl 1 Bridgeport CT 06606-5534
Phone: (203) 335-0191
Fax: (203) 382-0322
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 0186 Connecticut

Profile Details

NPI number 1508831314
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Bridgeport Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 16th, 2023 - 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 1508831314 NPPES
Connecticut MEDICAID 004119336

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