Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Lexington OK Prison
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
3545 NW 58TH ST, STE 600, OKLAHOMA CITY, OK 73112-4726
(405) 527-8996
(405) 527-8989
Mailing address
5200 VIRGINIA WAY, STE 400 L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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