Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Mountain View Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2881 BUSINESS PARK CT, STE 130, LAS VEGAS, NV 89128-9019
(702) 341-9551
(702) 341-9379
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2201ESR12
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004502010
—
NV
05
—
552449
—
AZ
05
—
82537800
—
WI
05
—
XCDC00691
—
CA
Enumeration date
04/04/2006
Last updated
02/28/2014
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