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Organization

DVA RENAL HEALTHCARE INC

Active
Other names
Sumner Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
300 STEAM PLANT RD STE 130, GALLATIN, TN 37066-3056
(615) 452-5131
(615) 452-8970
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
83
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442623
TN
05
3900074000
KY
Enumeration date
04/07/2006
Last updated
02/22/2021
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