DVA HEALTHCARE OF MASSACHUSETTS INC (NPI# 1235198193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235198193 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MASSACHUSETTS INC |
| Other Organization Name | SALEM NORTHEAST DIALYSIS |
| Practice Address |
207 Highland Ave Ste 205 Salem MA 01970-1829 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9787442075 |
| Practice Fax Number | 9785421976 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
EJG4 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1311719 | 05 |
| Other Name | Type Code |
|---|---|
| Salem Northeast Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1811956246 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 31 Mall Rd, Suite 1b, Burlington, MA 01803-4138 | 2006-03-23 |
| 1891754883 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 10 Cabot Rd, Ste 103b, Medford, MA 02155-5275 | 2006-03-20 |
| 1962461988 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 237-b State Rd, North Dartmouth, MA 02747-2612 | 2006-03-20 |
| 1710946637 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 660 Harrison Ave, Boston, MA 02118-2304 | 2006-03-20 |
| 1124087150 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 322 Washington St, Brookline, MA 02445-6850 | 2006-03-20 |
| 1083673990 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 330 Libbey Industrial Pkwy, Ste 900, Weymouth, MA 02189-3122 | 2006-03-20 |
| 1932168879 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 799 Concord Ave, Cambridge, MA 02138 | 2006-03-20 |
| 1851350714 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 195 Worcester St, Lower Level, Wellesley, MA 02481-5568 | 2006-03-20 |
| 1184683047 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 23 Warren Ave, Woburn, MA 01801-7906 | 2006-03-20 |
| Street Address |
207 HIGHLAND AVE STE 205 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| 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 |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
| 1215485883 | Belmont Dialysis LLC | Clinic/Center | 3737 W Main St Ste 103, Salem, VA 24153-2073 | 2016-09-13 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| 1891120812 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 19 Keewaydin Dr Ste A, Salem, NH 03079-4891 | 2013-09-10 |
| 1194066878 | Total Renal Care Inc | Clinic/Center | 4792 Portland Rd Ne, Salem, OR 97305-3920 | 2013-03-06 |
| 1942531843 | Renal Care Group Eastern Ohio, LLC | Clinic/Center | 2345 E Pershing St, Salem, OH 44460-3400 | 2010-01-18 |
| 1376784579 | New Springs Dialysis LLC | Clinic/Center | 1201 N Jim Day Rd, Ste 103, Salem, IN 47167-7219 | 2009-03-18 |
| 1376799957 | Fresenius Medical Care Dialysis Services-oregon, LLC | Clinic/Center | 1060 2nd St Nw, Salem, OR 97304 | 2008-08-14 |
| Find all providers in SALEM | ||||
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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.