Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1730141896 Active

Practice location

1700 S 60th St
Philadelphia, PA 19142-1404

Call (215) 730-0500 Map

Fax (215) 730-0600

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: 1730141896
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Nov 17, 2020
Status: Active

Other names

<unavail>
Cobbs Creek Dialysis · doing business as
Cobbs Creek Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1730141896

Dva Healthcare Renal Care Inc's National Provider Identifier is 1730141896, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2020.