DVA HEALTHCARE RENAL CARE INC (NPI# 1336112598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336112598 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | NORTHPORT DIALYSIS |
| Practice Address |
2401 Hospital Dr Northport AL 35476-3392 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 2053398882 |
| Practice Fax Number | 2053398807 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-12-04 |
| 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 |
S6303 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220639 | 05 | |
| AL | DIA2570D | 05 |
| Other Name | Type Code |
|---|---|
| Northport 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 |
2401 HOSPITAL DR |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| 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 |
|---|---|---|---|---|
| 1144459769 | Reliant Renal Care-alabama, LLC | Clinic/Center | 4400 Watermelon Rd # A, Northport, AL 35473-5204 | 2009-07-02 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
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|---|---|---|---|---|
| 1366059990 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 131 Cox Creek Pkwy S, Florence, AL 35630-3264 | 2020-09-28 |
| 1740893890 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 664 S University Blvd, Mobile, AL 36609-7866 | 2020-08-28 |
| 1245841550 | Arrowhead Dialysis LLC | Clinic/Center | 1850 Mcfarland Blvd N Ste B, Tuscaloosa, AL 35406-2138 | 2020-08-11 |
| 1861000804 | Fresenius Medical Care Mobile Area, LLC | Clinic/Center | 201 Saint Joseph St Ste B, Mobile, AL 36602-3932 | 2020-07-15 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1659838266 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Wasden Ln, Hope Hull, AL 36043-4310 | 2019-03-01 |
| 1467916502 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1850 Parkland Dr Ne, Cullman, AL 35058-6100 | 2019-01-23 |
| 1427533561 | Fresenius Medical Care Coosa River, LLC | Clinic/Center | 708 S 4th St, Gadsden, AL 35901-5221 | 2018-09-25 |
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1114434230 | Prattville Community Dialysis LLC | Clinic/Center | 1815 Glynwood Dr, Prattville, AL 36066-5584 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
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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.