DVA RENAL HEALTHCARE INC NPI 1184688459

NPI Information

DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Fairfield, OH. DVA RENAL HEALTHCARE INC NPI is 1184688459. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfield Home Training Dialysis.

The provider's business location address is:

1210 HICKS BLVD
FAIRFIELD, OH
ZIP 45014-921
Phone: (513) 939-1120
Fax: (513) 939-1150

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 CLIA number assigned to this NPI record is 36D0959952 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 9/18/2019.

Taxonomy Codes

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Other Identifiers

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