DVA HEALTHCARE RENAL CARE INC (NPI# 1215990759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215990759 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | TIPTON COUNTY DIALYSIS |
| Practice Address |
107 Tennessee Ave Covington TN 38019-3902 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9014750410 |
| Practice Fax Number | 9014759040 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-09-20 |
| 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 |
48 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 3900014600 | 05 | |
| TN | 0442604 | 05 | |
| MS | 05774858 | 05 |
| Other Name | Type Code |
|---|---|
| Tipton County Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
107 TENNESSEE AVE |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| 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 |
|---|---|---|---|---|
| 1952898801 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 117 Mall Rd, Covington, VA 24426-2413 | 2018-04-17 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1508281817 | Shone Dialysis LLC | Clinic/Center | 10132 Carlin Dr, Covington, GA 30014-3651 | 2014-02-24 |
| 1063524825 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 170 Greenbrier Blvd, Covington, LA 70433-7233 | 2006-08-31 |
| 1619089422 | Bio-medical Applications of Georgia Inc. | Clinic/Center | 11415 Brown Bridge Rd, Covington, GA 30016-3360 | 2006-08-31 |
| 1023120854 | Bio-medical Applications of Georgia Inc | Clinic/Center | 7215 Industrial Blvd Ne, Covington, GA 30014-6329 | 2006-08-31 |
| 1114949005 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2047 Highway 51 S, Covington, TN 38019-3631 | 2006-07-23 |
| 1699720011 | Dsi Renal Inc | Clinic/Center | 4179 Baker St Ne, Covington, GA 30014-1405 | 2006-05-24 |
| 1407810617 | Dva Healthcare Renal Care Inc | Clinic/Center | 2504 Valley Ridge Rd, Covington, VA 24426-6339 | 2006-04-14 |
| 1053370106 | Renal Treatment Centers Southeast Lp | Clinic/Center | 210 Greenbriar Blvd, Covington, LA 70433-7235 | 2006-03-18 |
| Find all providers in COVINGTON | ||||
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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.