New Haven Dialysis

LBN: Dva Renal Healthcare Inc
New Haven Dialysis is an health care organization with primary practice located at 15 Center St Ste 201, New Haven CT 06510-3003. 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 (203) 859-7770, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
15 Center St Ste 201 New Haven CT 06510-3003
Fax: (203) 495-1454
Website:
Authorized official contact:
Name: Wey, Samuel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 0267 Connecticut

Profile Details

NPI number 1689640997
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as New Haven Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 1st, 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 1689640997 NPPES
Connecticut MEDICAID 004199619

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