Abercorn Dialysis

LBN: Dva Renal Healthcare Inc
Abercorn Dialysis is an health care organization with primary practice located at 11706 Mercy Blvd Ste 9 , Savannah GA 31419-1751. 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 (912) 961-6006, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
11706 Mercy Blvd Ste 9 Savannah GA 31419-1751
Phone: (912) 961-6006
Fax: (912) 961-9257
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T. AO
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001082 Georgia

Profile Details

NPI number 1205804309
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Abercorn Dialysis
Authorized official Wey, Samuel T. AO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 7th, 2023 - about 3 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 1205804309 NPPES
South Carolina MEDICAID ER0003
South Carolina MEDICAID 000893153K
South Carolina MEDICAID 890572000

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