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DVA HEALTHCARE RENAL CARE INC. NPI 1164785747


NPI Information

NPI: 1164785747
Provider Name: DVA HEALTHCARE RENAL CARE, INC.

Other Name: YUMA DIALYSIS

Classification: Chronic Disease Hospital - 281P00000X
Entity Type: Organization

CLIA Number: 03D0531510

Address:
2130 W 24TH ST
YUMA, AZ
ZIP 85364
Phone: (928) 783-2365
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DVA HEALTHCARE RENAL CARE, INC. is a chronic disease hospital in Yuma, AZ. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. DVA HEALTHCARE RENAL CARE, INC. NPI is 1164785747. The provider is registered as an organization entity type.
The provider Other Name Is Yuma Dialysis.

The provider's business location address is:

2130 W 24TH ST
YUMA, AZ
ZIP 85364-122
Phone: (928) 783-2365

The provider's authorized official is Tyler Bloom .
The authorized official title is No Response Claims Manager and has the following contact phone number (253) 382-1108.

The CLIA number assigned to this NPI record is 03D0531510 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.


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
1281P00000XChronic Disease HospitalOTC-3619ARIZONAYes

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: 4/28/2024

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