Organization
DVA RENAL HEALTHCARE, INC.
Active
Other names
Sharpsburg Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
191 SE RAILROAD ST, SHARPSBURG, NC 27878
(252) 446-1791
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
1346752607
—
NC
Enumeration date
10/26/2017
Last updated
06/28/2021
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