DVA HEALTHCARE SOUTHWEST OHIO LLC NPI 1720042096

NPI Information

DVA HEALTHCARE SOUTHWEST OHIO LLC is an end-stage renal disease (esrd) treatment clinic center in Fairfield, OH. DVA HEALTHCARE SOUTHWEST OHIO LLC NPI is 1720042096. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfield Dialysis.

The provider's business location address is:

1210 HICKS BLVD
FAIRFIELD, OH
ZIP 45014-921
Phone: (513) 939-1110
Fax: (513) 939-1202

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 enumeration date for this NPI number is 4/13/2006 and was last updated on 11/7/2023.

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.

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