Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Stockton Home Training Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-7501
Entity
Organization
Contact information
Practice address
5608 N PERSHING AVE, STOCKTON, CA 95207-4906
(209) 954-9563
(209) 954-9938
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437124476
—
CA
Enumeration date
02/22/2006
Last updated
08/02/2022
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