Organization
DVA HEALTHCARE OF PENNSYLVANIA LLC
Active
Other names
Pittsburgh Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
4312 PENN AVE, PITTSBURGH, PA 15224-1310
(412) 681-8556
(412) 681-8537
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007451930016
—
PA
Enumeration date
04/05/2006
Last updated
03/02/2020
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