Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Glendale 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
1000 E PALMER AVE, GLENDALE, CA 91205-3532
(818) 241-6382
(818) 241-8153
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
93000002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578537601
—
CA
Enumeration date
02/15/2006
Last updated
01/25/2022
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