DVA HEALTHCARE RENAL CARE, INC. (NPI# 1578531802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578531802 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE RENAL CARE, INC. |
Other Organization Name | QUINCY DIALYSIS |
Practice Address |
878 Strong Rd Quincy FL 32351-5243 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 8508751570 |
Practice Fax Number | 8508751572 |
Mailing Telephone | 6153204593 |
Mailing Fax Number | 8002935872 |
Enumeration Date | 2006-03-11 |
Last Update Date | 2019-07-19 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
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 |
---|---|---|---|
FL | 209684601 | 05 |
Other Name | Type Code |
---|---|
Quincy Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
1477517738 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 4805 1st St N, Arlington, VA 22203-2603 | 2006-04-13 |
1801850409 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 523 W 7th St, Weatherford, TX 76086-1536 | 2006-04-12 |
1346200334 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 111 Cherry Hill Rd, Baltimore, MD 21225-1392 | 2006-03-24 |
1003875683 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 615 Comfort Ln, Monroe, NC 28112-5599 | 2006-03-21 |
1043279110 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 2817 Napoleon Ave, New Orleans, LA 70115-6915 | 2006-03-18 |
1013986389 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 821 Lincoln Hwy, Fairview Heights, IL 62208-2216 | 2006-03-17 |
1376511618 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 1711 Alton Rd, Miami Beach, FL 33139-2411 | 2006-03-11 |
1073581310 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 11306 N 53rd St, Temple Terrace, FL 33617-2214 | 2006-03-11 |
1598733834 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 6610 Stadium Dr, Zephyrhills, FL 33542-7510 | 2006-03-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | DVA Healthcare Renal Care, Inc. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
Oregon Corporations, Companies and Business Names | DVA HEALTHCARE RENAL CARE, INC. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
Iowa Business Entities | DVA HEALTHCARE RENAL CARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
Massachusetts Corporations | DVA HEALTHCARE RENAL CARE, INC. | 2000 16th Street, Denver, CO 80202 |
Oklahoma Business Registrations | DVA HEALTHCARE RENAL CARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
Street Address |
878 STRONG RD |
City | QUINCY |
State | FL |
Zip Code | 32351-5243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
1841776556 | Caticia Shorter | Contractor | 315 Ray Road, Quincy, FL 32351 | 2018-07-16 |
1184170714 | Darlene Rollins Cunningham | Contractor | 716 Martin Luther King Jr. Blvd., Quincy, FL 32351 | 2016-09-01 |
1598186439 | Lydia Drayton | Technician, Pathology | 144 Gene Williams Rd, Quincy, FL 32351 | 2013-12-19 |
1609164987 | William Holzman | Dentist | 236 East Jefferson, Quincy, FL 32351 | 2011-07-20 |
1225338866 | Natalie S Franz | Registered Nurse | 278 Lasalle Lefall Dr., Qunicy, FL 32351 | 2010-10-29 |
1598915258 | Roiquista Ewana Harrison-albritton | Licensed Practical Nurse | 278 Dr. Lasalle Lefall, Quincy, FL 32351 | 2008-09-30 |
1265601835 | Crystal C Cutchins | Speech-Language Pathologist | 304 E. Jefferson St, Quincy, FL 32351 | 2008-02-27 |
1871761890 | Susan Nicholson Lajoie | Nurse Practitioner | 278 Dr. Lasalle Leffall Dr., Quincy, FL 32351 | 2008-02-12 |
1033399951 | Jill Mcelligott Welch | Midwife | 152 Winding Creek Rd, Quincy, FL 32351 | 2007-11-08 |
Find all providers in zip 32351 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1437168143 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 241 Parkingway, Quincy, MA 02169-5029 | 2006-08-05 |
1396118444 | Usrc Quincy, LLC | Clinic/Center | 500 Victory Rd, Quincy, MA 02171-3139 | 2015-11-10 |
1407144637 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock St, Suite 110-n, Quincy, MA 02169-4339 | 2011-07-21 |
1679860134 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock Street, Suite 204, Quincy, MA 02169 | 2011-07-06 |
1053410001 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1025 Maine St, Quincy, IL 62301-4038 | 2006-09-22 |
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1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
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1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
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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.