DVA RENAL HEALTHCARE INC (NPI# 1629415609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629415609 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE INC |
Other Organization Name | RED MOUNTAIN HOME TRAINING DIALYSIS |
Practice Address |
300 B 22nd St South Birmingham AL 35233-2209 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 2052506757 |
Practice Fax Number | 2054580146 |
Mailing Telephone | 6153204268 |
Mailing Fax Number | 8772380567 |
Enumeration Date | 2013-05-30 |
Last Update Date | 2018-12-14 |
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 |
S3734 | AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 156375 | 05 |
Other Name | Type Code |
---|---|
Red Mountain Home Training Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
1700844859 | Dva Renal Healthcare Inc | Clinic/Center | 1800 Timberwood Blvd, Ste C, Charlottesville, VA 22911-7544 | 2006-05-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
Street Address |
300 B 22ND ST SOUTH |
City | BIRMINGHAM |
State | AL |
Zip Code | 35233-2209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
Find all providers in zip 35233 |
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 |
---|---|---|---|---|
1346768603 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 105 Inverness Cors, Birmingham, AL 35242-3762 | 2017-09-06 |
1952764615 | Fresenius Medical Care Trussville, LLC | Clinic/Center | 3671 Roosevelt Blvd, Birmingham, AL 35235-3193 | 2016-03-31 |
1225411739 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2024 4th Ave S Ste 100, Birmingham, AL 35233-2046 | 2015-07-01 |
1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
1538443619 | Dialysis Newco Inc | Clinic/Center | 3201 3rd Ave S, Birmingham, AL 35222-1707 | 2011-10-06 |
1598068660 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 9540 Parkway E, Birmingham, AL 35215-8311 | 2010-12-13 |
1659674190 | Renal Treatment Centers- Southeast Lp | Clinic/Center | 3007 27th St N, Birmingham, AL 35207 | 2010-12-06 |
1881903227 | Renal Treatment Centers- Southeast, Lp | Clinic/Center | 300 22nd St S, Birmingham, AL 35233-2209 | 2010-10-04 |
1992020655 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1004 Forestdale Blvd, Birmingham, AL 35214-3832 | 2010-04-06 |
1093927675 | Naphcare, Inc | Clinic/Center | 2090 Columbiana Road, Suite 4000, Birmingham, AL 35216-2158 | 2007-05-04 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35233 |
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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.