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Organization

DVA HEALTHCARE RENAL CARE INC

Active
Other names
Bethany Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization

Contact information

Practice address
21 N 12TH ST, STE 201, KANSAS CITY, KS 66102-5161
(913) 621-2870
(913) 621-1633
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(866) 317-3596

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100213850L
KS
05
505227603
MO
Enumeration date
03/20/2006
Last updated
08/12/2008
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