Sierra Vista Dialysis
LBN: Dva Renal Healthcare Inc
Sierra Vista Dialysis is an health care organization with primary practice located at 629 N Hwy 90 Byp Ste 6, Sierra Vista AZ 85635-2257. 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 (520) 459-7791, or through Winstel, John via phone (253) 733-4501.
Contact Information
Primary practice address
629 N Hwy 90 Byp Ste 6
Sierra Vista AZ 85635-2257
Phone: (520) 459-7791
Fax: (520) 459-7129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | OTC605 | Arizona |
Profile Details
| NPI number | 1942274493 |
|---|---|
| LBN Legal business name | Dva Renal Healthcare Inc |
| DBA Doing business as | Sierra Vista Dialysis |
| Authorized official | Winstel, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942274493 | NPPES |
| Arizona | MEDICAID | 106535 |
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