Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
McKeesport Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2001 LINCOLN WAY, WHITE OAK, PA 15131-2419
(412) 678-0183
(412) 678-8417
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
040301300
—
WV
05
—
1007635580063
—
PA
05
—
2231267
—
OH
Enumeration date
04/05/2006
Last updated
06/15/2020
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