Christian County Dialysis

LBN: Dva Renal Healthcare Inc
Christian County Dialysis is an health care organization with primary practice located at 200 Burley Ave , Hopkinsville KY 42240-8725. 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 Renal Healthcare Inc can be contacted via phone (270) 707-0701, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
200 Burley Ave Hopkinsville KY 42240-8725
Phone: (270) 707-0701
Fax: (270) 707-0780
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 300140 Kentucky

Profile Details

NPI number 1184687824
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Christian County Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 15th, 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 1184687824 NPPES
Tennessee MEDICAID 0182549
Tennessee MEDICAID 3900030200

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