DVA HEALTHCARE RENAL CARE INC NPI 1518930890

NPI Information

DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Boaz, AL. DVA HEALTHCARE RENAL CARE INC NPI is 1518930890. The provider is registered as an organization entity type.
The provider Is Doing Business As Boaz Dialysis.

The provider's business location address is:

16 CENTRAL HENDERSON RD
BOAZ, AL
ZIP 35957-922
Phone: (256) 840-5931
Fax: (256) 840-1951

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 01D0959688 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 1/20/2022.

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:

Other Identifiers

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