Organization
DVA HEALTHCARE OF MASSACHUSETTS INC
Active
Other names
Salem Northeast 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
207 HIGHLAND AVE, STE 2, SALEM, MA 01970-1829
(978) 744-2075
(978) 542-1976
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
EJG4
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311719
—
MA
Enumeration date
03/20/2006
Last updated
09/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us