DVA RENAL HEALTHCARE INC (NPI# 1003889973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003889973 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE INC |
Other Organization Name | PASCUA YAQUI TRIBE DIALYSIS |
Practice Address |
7490 S Camino De Oeste Tucson AZ 85746-9308 |
Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
Practice Telephone | 5208796161 |
Practice Fax Number | 5205783655 |
Mailing Telephone | 6153416814 |
Mailing Fax Number | 8002938405 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2019-01-09 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 395906 | 05 |
Other Name | Type Code |
---|---|
Pascua Yaqui Tribe Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
Street Address |
7490 S CAMINO DE OESTE |
City | TUCSON |
State | AZ |
Zip Code | 85746-9308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324150 | Marisa Lynn Soto | Pharmacist | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2005-05-23 |
1790302727 | El Rio Santa Cruz Neighborhood | Pharmacy | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2020-06-25 |
1477172872 | Stephen John Simonetti | Student in an Organized Health Care Education/Training Program | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2020-04-15 |
1942778857 | Sean Plimley Herziger | Social Worker | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2018-11-08 |
1639647522 | Dawn Elizabeth Mcmillan-austin | Counselor | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2018-11-08 |
1285126839 | Laura J. Cockrell | Marriage & Family Therapist | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2018-05-30 |
1558853275 | Linda L Vance | Counselor | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2018-05-30 |
1003310251 | Ava Crystal Arshadi | Student in an Organized Health Care Education/Training Program | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2018-03-22 |
1427565050 | Maria Alcantara | Dental Hygienist | 7490 S Camino De Oeste, Tucson, AZ 85757-9308 | 2018-01-04 |
1720443237 | Teddy Kay Walter Estes | Counselor | 7490 S Camino De Oeste, Tucson, AZ 85746-9308 | 2015-12-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
Find all providers in zip 85746 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740711993 | Southwest Kidney-davita Dialysis Partners, LLC | Clinic/Center | 1635 N Swan Rd, Tucson, AZ 85712-4046 | 2017-03-21 |
1700277928 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5555 E 5th St Ste 155, Tucson, AZ 85711-2415 | 2015-02-10 |
1619114501 | Rita Ranch Dialysis LLC | Clinic/Center | 7355 S Houghton Rd Ste 101, Tucson, AZ 85747-9380 | 2009-01-14 |
1104091743 | Total Renal Care Inc | Clinic/Center | 2901 E Grant Rd, Tucson, AZ 85716-2717 | 2008-04-24 |
1649442526 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 2802 S 6th Ave, Tucson, AZ 85713-4703 | 2008-03-31 |
1811169790 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1430 W Valencia Rd Ste 1, Tucson, AZ 85746-6001 | 2008-03-31 |
1740476282 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 100 W Grant Rd, Tucson, AZ 85705-5531 | 2007-09-19 |
1578780268 | Bio Medical Applications of Arizona LLC | Clinic/Center | 6261 N La Cholla Blvd Ste 181, Tucson, AZ 85741-3563 | 2007-04-20 |
1023041407 | Dialysis Clinic Inc. | Clinic/Center | 2022 E Prince Rd, Tucson, AZ 85719-2005 | 2006-07-08 |
1871526251 | Dialysis Clinic Inc. | Clinic/Center | 1011 E Pennsylvania St, Tucson, AZ 85714-3310 | 2006-07-08 |
Find all providers in TUCSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.