DVA HEALTHCARE RENAL CARE INC NPI 1932163268

NPI Information

DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Ashtabula, OH. DVA HEALTHCARE RENAL CARE INC NPI is 1932163268. The provider is registered as an organization entity type.
The provider Is Doing Business As Ashtabula Dialysis.

The provider's business location address is:

1614 W 19TH ST
ASHTABULA, OH
ZIP 44004-036
Phone: (440) 964-9777
Fax: (440) 964-8914

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

The CLIA number assigned to this NPI record is 36D0720688 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 5/20/2021.

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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