DVA HEALTHCARE OF TUSCALOOSA LLC (NPI# 1396059382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396059382 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF TUSCALOOSA LLC |
| Other Organization Name | PICKENS COUNTY DIALYSIS |
| Practice Address |
289 William E Hill Dr Suite A Carrollton AL 35447 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2053671194 |
| Practice Fax Number | 2053671248 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | JOHN 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 |
S5401 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 127512 | 05 |
| Other Name | Type Code |
|---|---|
| Pickens County Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336112143 | Dva Healthcare of Tuscaloosa LLC | Clinic/Center | 544 Us Highway 43, Eutaw, AL 35462-4017 | 2006-02-10 |
| 1003889171 | Dva Healthcare of Tuscaloosa LLC | Clinic/Center | 220 15th St, Tuscaloosa, AL 35401-3523 | 2006-02-09 |
| 1902879117 | Dva Healthcare of Tuscaloosa LLC | Clinic/Center | 2450 Temple Ave N, Fayette, AL 35555-1160 | 2006-02-08 |
| Street Address |
289 WILLIAM E HILL DR SUITE A |
| City | CARROLLTON |
| State | AL |
| Zip Code | 35447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477921864 | Whatley Health Services, Inc. | Clinic/Center | 289 William E Hill Dr, Carrollton, AL 35447-3247 | 2015-09-02 |
| 1265844989 | Brittney Anderson | Family Medicine | 289 William E Hill Dr, Carrollton, AL 35447-3247 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1871847418 | Pickens County Health Care Authority | Home Health | 241 Robert K. Wilson Drive, Carrollton, AL 35447 | 2012-11-05 |
| 1356661045 | Joy T Robinson | Dietitian, Registered | 241 Robert K. Wilson Dr., Carrollton, AL 35447 | 2010-06-04 |
| 1114172533 | Benjamin Powell Curry Jr. | Counselor | 190 William E. Hill Drive, Carrollton, AL 35447 | 2008-11-26 |
| 1285817890 | Pickens County Medical Center Senior Care Outpatient Clinic | Counselor | 241 Hwy 17 N, Carrollton, AL 35447 | 2007-12-06 |
| 1790875516 | Mental Health Bd of Bibb Pickens and Tuscaloosa Counties | Clinic/Center | 140 Court Square, Carrollton, AL 35447 | 2006-10-13 |
| 1700986791 | Pickens County Medical Center | Family Medicine | 184 William E. Hill Dr, Carrollton, AL 35447 | 2006-09-22 |
| 1902910276 | Pickens County Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 96 Court Square, Carrollton, AL 35447 | 2006-08-17 |
| 1730649542 | Dixie S Alley | Occupational Therapist | 241 Robert K Wilson Dr, Carrollton, AL 35447 | 2019-03-20 |
| Find all providers in zip 35447 | ||||
| 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 |
|---|---|---|---|---|
| 1538727938 | Lifeline Home Health LLC | Clinic/Center | 4125 Fairway Dr Ste 135, Carrollton, TX 75010-6510 | 2019-05-31 |
| 1669959888 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 130 Parkwood Cir, Carrollton, GA 30117-8353 | 2018-07-20 |
| 1174929434 | Carrollton Regional Dialysis Center LLC | Clinic/Center | 1128 N I 35, Carrollton, TX 75006-3803 | 2014-11-14 |
| 1558646935 | Caddo Dialysis LLC | Clinic/Center | 329 Floyd Dr Ste B, Carrollton, KY 41008-8261 | 2011-10-17 |
| 1699817544 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 157 Clinic Ave Ste 102, Carrollton, GA 30117-4454 | 2007-02-13 |
| 1952413783 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 195 Parkwood Cir, Carrollton, GA 30117-8756 | 2006-08-31 |
| 1952329864 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1544 Valwood Pkwy Ste 114, Carrollton, TX 75006-8425 | 2006-07-18 |
| 1790700839 | Renal Center of Carrollton, Lp, Lllp | Clinic/Center | 4240 International Pkwy Ste 158, Carrollton, TX 75007-1974 | 2006-07-12 |
| 1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
| 1124329982 | Total Renal Care Inc | Clinic/Center | 195 Parkwood Cir, Carrollton, GA 30117-8756 | 2010-11-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 35447 |
Please comment or provide details below to improve the information on DVA HEALTHCARE OF TUSCALOOSA LLC.
| 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.