Organization
DIALYSIS SERVICES OF PENNSYLVANIA, INC- LEMOYNE
Active
Parent organization
DIALYSIS CORPORATION OF AMERICA, INC.
Other names
DCA of Lemoyne, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIALYSIS CORPORATION OF AMERICA, INC.
Authorized official
MR. STEPHEN EVERETT (CEO)
(410) 694-0500
Entity
Organization
Contact information
Practice address
27 MILLER ST, SUITE 1, LEMOYNE, PA 17043-1521
(717) 730-6011
(717) 730-9086
Mailing address
214 SENATE AVENUE, SUITE 300, CAMP HILL, PA 17011-2339
(717) 730-9701
(717) 730-6223
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
—
0015293320001
—
PA
01
—
105531
GEISINGER HEALTH PLAN
PA
01
—
1504321
GATEWAY
PA
01
—
1529332
HEALTHMATE
PA
01
—
1851
PA HIGHMARK
PA
01
—
20007740
AMERIHEALTH MERCY
PA
01
—
30021413
KEYSTONE MERCY
PA
01
—
34493
HEALTH PARTNERS
PA
01
—
5277373
AETNA
PA
01
—
PPA01548
PA CHRONIC RENAL
PA
Enumeration date
04/07/2006
Last updated
06/17/2008
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