DVA HEALTHCARE RENAL CARE INC (NPI# 1447215157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447215157 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | GREENBRIER DIALYSIS |
| Practice Address |
9745 Seneca Trl S Lewisburg WV 24901 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3046454806 |
| Practice Fax Number | 3046473941 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCT 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005742000 | 05 | |
| VA | 005125090 | 05 |
| Other Name | Type Code |
|---|---|
| Greenbrier 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 |
9745 SENECA TRL S |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| 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 |
|---|---|---|---|---|
| 1275767352 | Bio-medical Applications of West Virginia Inc | Clinic/Center | 1215 Maplewood Avenue, Lewisburg, WV 24901-9478 | 2009-05-05 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1245714617 | Dialysis Associates, LLC | Clinic/Center | 1030 War Eagle Dr, Lewisburg, TN 37091-2279 | 2018-09-20 |
| 1083937494 | North Central Pennsylvania Dialysis Clinics-lewisburg LLC | Clinic/Center | 135 Jpm Rd, Lewisburg, PA 17837-9313 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064471 | Weirton Dialysis Center LLC | Clinic/Center | 100 Colliers Way Ste 1, Weirton, WV 26062-4000 | 2018-05-29 |
| 1265958292 | Fresenius Medical Care Hamlin, LLC | Clinic/Center | 12 Lincoln Plz, Branchland, WV 25506-9773 | 2017-08-22 |
| 1396272332 | Total Renal Care Inc | Clinic/Center | 1 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2017-05-22 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1629517743 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 4 Northridge Dr Ste 116, Buckhannon, WV 26201-8484 | 2017-02-22 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1689049124 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 927 Foxcroft Ave, Martinsburg, WV 25401-1840 | 2015-12-09 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 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.