DCA OF CHAMBERSBURG INC. NPI 1033172556

NPI Information

NPI: 1033172556
Provider Name: DCA OF CHAMBERSBURG, INC.

Doing Business As: U S RENAL CARE CHAMBERSBURG DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
765 5TH AVE
FIFTH AVE PROFESSIONAL CENTER
CHAMBERSBURG, PA
ZIP 17201
Phone: (717) 263-9300
Get Directions

DCA OF CHAMBERSBURG, INC. is an end-stage renal disease (esrd) treatment clinic center in Chambersburg, PA. DCA OF CHAMBERSBURG, INC. NPI is 1033172556. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care Chambersburg Dialysis.

The provider's business location address is:

765 5TH AVE
FIFTH AVE PROFESSIONAL CENTER
CHAMBERSBURG, PA
ZIP 17201-228
Phone: (717) 263-9300
Fax: (717) 263-7879

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 39D0955073 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 10/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1527304	OTHER	PENNSYLVANIA	GATEWAY MEDICARE ASSURED
2	=========	OTHER	PENNSYLVANIA	TRICARE
3	PPA01555	OTHER	PENNSYLVANIA	PA CHRONIC RENAL PROGRAM
4	01741721	OTHER	PENNSYLVANIA	GATEWAY
5	01741721	OTHER	PENNSYLVANIA	HEALTHMATE
6	2125722	OTHER	PENNSYLVANIA	AETNA
7	265899	OTHER	PENNSYLVANIA	MAMSI ALLIANCE
8	1265899	OTHER	PENNSYLVANIA	GETTYSBURG HEALTH ADMIN
9	1850	OTHER	PENNSYLVANIA	PA HIGHMARK
10	39-2648	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	MEDICARE
11	34493	OTHER	PENNSYLVANIA	HEALTH PARTNERS
12	0017417210001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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