Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Williamson County 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
3983 CAROTHERS PKWY, STE E-4, FRANKLIN, TN 37067-5936
(615) 794-4423
(615) 794-1672
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-4514
(866) 949-9615
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
111
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442587
—
TN
Enumeration date
04/07/2006
Last updated
05/27/2020
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