Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Bakersfield Brimhall Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIR LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8501 BRIMHALL RD STE 500, BAKERSFIELD, CA 93312-2258
(661) 387-6603
(661) 387-6780
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
240000776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629042148
—
CA
Enumeration date
02/13/2006
Last updated
08/16/2023
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