HOVEN DIALYSIS LLC


Address: 5072 Ritter Rd Ste 104, Mechanicsburg, PA 17055-4823
Phone: 7177909039

HOVEN DIALYSIS LLC (NPI# 1225598782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225598782
Entity Type Organization
Organization Name HOVEN DIALYSIS LLC
Other Organization Name ROSSMOYNE DIALYSIS
Practice Address 5072 Ritter Rd Ste 104
Mechanicsburg
PA 17055-4823
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 7177909039
Practice Fax Number 7177909752
Mailing Telephone 6153204286
Mailing Fax Number 8665942893
Enumeration Date 2019-03-21
Last Update Date 2019-09-30
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Rossmoyne Dialysis Doing Business As Name - Organization

Office Location

Street Address 5072 RITTER RD STE 104
City MECHANICSBURG
State PA
Zip Code 17055-4823

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1083677587 Dca of Mechanicsburg LLC Clinic/Center 120 S Filbert St, Mechanicsburg, PA 17055-6539 2006-04-07

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Competitor

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City MECHANICSBURG
Zip Code 17055

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Dataset Information

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.

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