Dva Healthcare Of Maryland Llc, NPI 1023077328
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, MD, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1023077328 |
| NPI Entity Type | Organization |
| Provider Name |
Dva Healthcare Of Maryland Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 920 E 25th St, Baltimore, MD, US |
| Provider Mailing Address | 5200 Virginia Way, L&c Dept, Brentwood, TN, US, 370277569 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | John Winstel |
| Official Position | CHIEF ACCOUNTING OFFICER |
| Phone | 253-733-4501 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Classification | |
| Group | |
| License No. | E2595 |
| License State | MD |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1007727620014 | PA | MEDICAID | 05 |
| 326000300 | MD | MEDICAID | 05 |
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