Organization · Type 2 NPI

Dva Healthcare of Pennsylvania LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pittsburgh, PA

NPI number 1104888932 Active

Practice location

4312 Penn Ave
Pittsburgh, PA 15224-1310

Call (412) 681-8556 Map

Fax (412) 681-8537

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1104888932
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: Mar 2, 2020
Status: Active

Other names

<unavail>
Pittsburgh Dialysis · doing business as
Pittsburgh Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4500

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About NPI 1104888932

Dva Healthcare of Pennsylvania LLC's National Provider Identifier is 1104888932, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pittsburgh, PA. The record was last updated on Mar 2, 2020.