Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Roxborough 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
5003 UMBRIA ST, PHILADELPHIA, PA 19128-4301
(215) 487-1869
(215) 487-1062
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
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
—
1007635580127
—
PA
05
—
3422562
—
NC
05
—
8443700
—
NJ
Enumeration date
04/05/2006
Last updated
02/18/2014
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