DVA RENAL HEALTHCARE INC (NPI# 1134188204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134188204 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE INC |
Other Organization Name | MONROE NORTH DIALYSIS |
Practice Address |
2344 Sterlington Rd Monroe LA 71203-3044 |
Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 3186990001 |
Practice Fax Number | 3186990005 |
Mailing Telephone | 6153214218 |
Mailing Fax Number | 3032097825 |
Enumeration Date | 2006-03-18 |
Last Update Date | 2007-07-11 |
Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
Authorized Official Telephone | 7705417922 |
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 |
053 | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1102181 | 05 |
Other Name | Type Code |
---|---|
Monroe North 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 |
2344 STERLINGTON RD |
City | MONROE |
State | LA |
Zip Code | 71203-3044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477794816 | Fresenius Medical Care Monroe, LLC | Clinic/Center | 2344 Sterlington Rd, Monroe, LA 71203-3044 | 2009-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
Find all providers in zip 71203 |
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 |
---|---|---|---|---|
1568861359 | Total Renal Care Inc | Clinic/Center | 415 S Telegraph Rd, Monroe, MI 48161-1611 | 2014-08-18 |
1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
1285988238 | Parker Dialysis LLC | Clinic/Center | 225 Plaza Dr, Monroe, GA 30655-3184 | 2012-10-30 |
1912287756 | Fresenius Medical Care Monroe LLC | Clinic/Center | 1710 Southern Avenue, Monroe, LA 71202-4543 | 2011-08-25 |
1073625885 | Bio-medical Applications of Georgia Inc. | Clinic/Center | 299 Plaza Dr, Monroe, GA 30655-3184 | 2006-08-31 |
1679685408 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1338 E Sunset Dr, Monroe, NC 28112-4323 | 2006-08-31 |
1326150160 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1501 Southern Ave, Monroe, LA 71202-4543 | 2006-08-31 |
1982716718 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 711 Wood St Ste B, Monroe, LA 71201-7564 | 2006-08-31 |
1184739922 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 992 South Monroe St., Monroe, MI 48161 | 2006-08-20 |
1104930023 | Nephron Corporation | Clinic/Center | 710 Breedlove Dr, Monroe, GA 30655-2054 | 2006-08-18 |
Find all providers in MONROE |
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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.