Tallahassee South Dialysis

LBN: Dva Renal Healthcare, Inc.
Tallahassee South Dialysis is an health care organization with primary practice located at 2410 S Adams St , Tallahassee FL 32301-6325. 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 (850) 224-8757, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2410 S Adams St Tallahassee FL 32301-6325
Phone: (850) 224-8757
Fax: (850) 224-8766
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

Profile Details

NPI number 1891763132
LBN Legal business name Dva Renal Healthcare, Inc.
DBA Doing business as Tallahassee South Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Sep 1st, 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 1891763132 NPPES
Florida MEDICAID 890033700
Florida MEDICAID 000893153C

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