DVA HEALTHCARE SOUTHWEST OHIO LLC NPI 1588628846

NPI Information

DVA HEALTHCARE SOUTHWEST OHIO LLC is an end-stage renal disease (esrd) treatment clinic center in Blue Ash, OH. DVA HEALTHCARE SOUTHWEST OHIO LLC NPI is 1588628846. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Ash Dialysis.

The provider's business location address is:

10600 MCKINLEY RD
BLUE ASH, OH
ZIP 45242-716
Phone: (513) 733-8215
Fax: (513) 733-8293

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D0701820 - 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 11/3/2023.

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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.