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DVA RENAL HEALTHCARE INC. NPI 1083678320


NPI Information

NPI: 1083678320
Provider Name: DVA RENAL HEALTHCARE, INC.

Doing Business As: ALEXANDRIA DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5150 DUKE ST
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 823-7940
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DVA RENAL HEALTHCARE, INC. is an end-stage renal disease (esrd) treatment clinic center in Alexandria, VA. DVA RENAL HEALTHCARE, INC. NPI is 1083678320. The provider is registered as an organization entity type.
The provider Is Doing Business As Alexandria Dialysis.

The provider's business location address is:

5150 DUKE ST
ALEXANDRIA, VA
ZIP 22304-906
Phone: (703) 823-7940
Fax: (703) 823-7945

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 7/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083678320MEDICAIDVIRGINIA
2009600800MEDICAIDMARYLAND

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

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