Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Bessemer Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
901 W LAKE MALL, BESSEMER, AL 35020-5393
(205) 424-1848
(205) 424-3408
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S3709
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2583D
—
AL
Enumeration date
02/07/2006
Last updated
07/13/2020
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