Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Sulphur Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF OPERATING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
944 BEGLIS PKWY, SULPHUR, LA 70663-5102
(337) 626-0774
(337) 626-2803
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
003
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102067
—
LA
Enumeration date
03/18/2006
Last updated
08/17/2020
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