Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Greenbrier Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCT OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
9745 SENECA TRL S, LEWISBURG, WV 24901
(304) 645-4806
(304) 647-3941
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
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
—
0005742000
—
WV
05
—
005125090
—
VA
Enumeration date
04/18/2006
Last updated
09/23/2019
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