DVA HEALTHCARE RENAL CARE INC (NPI# 1750343828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750343828 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | ELIZABETHTOWN DIALYSIS |
| Practice Address |
844 N Hanover St Elizabethtown PA 17022-1303 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7173610151 |
| Practice Fax Number | 7173618875 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | JOHN D 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007635580097 | 05 |
| Other Name | Type Code |
|---|---|
| Elizabethtown 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 |
844 N HANOVER ST |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1720469463 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 101 S Craig St, Elizabethtown, NC 28337-3905 | 2015-06-17 |
| 1861452302 | Central Kentucky Dialysis Centers LLC | Clinic/Center | 2807 Ring Rd, Elizabethtown, KY 42701-9114 | 2006-03-27 |
| 1710947973 | Total Renal Care of North Carolina LLC | Clinic/Center | 101 Dialysis Dr, Elizabethtown, NC 28337-9048 | 2006-03-23 |
| 1053742569 | Elizabethtown Center LLC | Clinic/Center | 75 Park St, Elizabethtown, NY 12932-2300 | 2013-12-09 |
| 1013245018 | Fresenius Medical Care Nak Elizabethtown, LLC | Clinic/Center | 1324 Woodland Dr, Suite B, Elizabethtown, KY 42701-2651 | 2009-12-02 |
| 1144468117 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1324 Woodland Dr, Suite B, Elizabethtown, KY 42701-2651 | 2009-01-29 |
| 1841344983 | Champlain Valley Physicians Hospital Medical Center | Clinic/Center | 75 Park St, Elizabethtown, NY 12932-2300 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on DVA HEALTHCARE RENAL CARE INC.
| 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.