Organization
DVA HEALTHCARE SOUTHWEST OHIO LLC
Active
Other names
Blue Ash Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10600 MCKINLEY RD, BLUE ASH, OH 45242-3716
(513) 733-8215
(513) 733-8293
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0171DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039163
—
OH
05
—
3900018700
—
KY
Enumeration date
04/13/2006
Last updated
12/23/2024
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