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DVA RENAL HEALTHCARE INC NPI 1790758290


NPI Information

NPI: 1790758290
Provider Name: DVA RENAL HEALTHCARE INC

Doing Business As: BIRMINGHAM HOME TRAINING DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2101 7TH AVE SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 241-5105
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DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Birmingham, AL. DVA RENAL HEALTHCARE INC NPI is 1790758290. The provider is registered as an organization entity type.
The provider Is Doing Business As Birmingham Home Training Dialysis.

The provider's business location address is:

2101 7TH AVE SOUTH
BIRMINGHAM, AL
ZIP 35233-105
Phone: (205) 241-5105
Fax: (205) 322-5758

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/11/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment10770ALABAMAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DIA2605DMEDICAIDALABAMA
2012605MEDICARE OSCAR/CERTIFICATIONALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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