Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Northeast Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3501 MALL VIEW RD, STE 109, BAKERSFIELD, CA 93306-3045
(661) 872-3580
(661) 872-3554
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
240000780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366416273
—
CA
Enumeration date
02/15/2006
Last updated
01/18/2024
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