Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Central Bamberg 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
67 SUNSET DR, BAMBERG, SC 29003-1181
(803) 245-5166
(803) 245-3315
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-0133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425347
—
SC
Enumeration date
04/04/2006
Last updated
03/23/2023
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