Fresno Palm Bluffs Dialysis

LBN: Dva Renal Healthcare Inc
Fresno Palm Bluffs Dialysis is an health care organization with primary practice located at 770 W Pinedale Ave , Fresno CA 93711-5744. 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 (559) 438-8512, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
770 W Pinedale Ave Fresno CA 93711-5744
Phone: (559) 438-8512
Fax: (559) 438-8696
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 240000849 California

Profile Details

NPI number 1437123643
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Fresno Palm Bluffs Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 12th, 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 1437123643 NPPES
California MEDICAID 1437123643

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