DVA RENAL HEALTHCARE INC NPI 1700844859

NPI Information

DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Charlottesville, VA. DVA RENAL HEALTHCARE INC NPI is 1700844859. The provider is registered as an organization entity type.
The provider Is Doing Business As Charlottesville North Dialysis.

The provider's business location address is:

1800 TIMBERWOOD BLVD
STE C
CHARLOTTESVILLE, VA
ZIP 22911-544
Phone: (434) 973-8555
Fax: (434) 973-1088

The provider's authorized official is John D 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 49D1055285 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 5/25/2023.

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

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