Roseburg Mercy Dialysis

LBN: Dva Healthcare Renal Care Inc
Roseburg Mercy Dialysis is an health care organization with primary practice located at 2410 Nw Edenbower Blvd Ste 178, Roseburg OR 97471-8830. 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 (541) 672-4608, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2410 Nw Edenbower Blvd Ste 178 Roseburg OR 97471-8830
Phone: (541) 672-4608
Fax: (541) 672-4817
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 170049 Oregon

Profile Details

NPI number 1568424711
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Roseburg Mercy Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 30th, 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 1568424711 NPPES
Oregon MEDICAID 133772

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