Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Tucson South 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
3662 S 16TH AVE, TUCSON, AZ 85713-6001
(520) 882-9665
(520) 882-9206
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC779
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358780
—
AZ
Enumeration date
02/10/2006
Last updated
09/08/2020
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