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Organization

DVA HEALTHCARE RENAL CARE INC

Active
Other names
Pear Tree Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization

Contact information

Practice address
126 N ORCHARD AVE, UKIAH, CA 95482-4502
(707) 467-9000
(707) 467-9300
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000443
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770557589
CA
Enumeration date
02/16/2006
Last updated
07/08/2014
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