Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hinesville, GA

NPI number 1962470195 Active

Practice location

522 Elma G Miles Pkwy
Hinesville, GA 31313-4021

Call (912) 368-4850 Map

Fax (912) 368-7247

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	ESRD001148 (GA)

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

Another provider at this address

Rucker Holdings IncOxygen Equipment & Supplies (DME) Hinesville, GA NPI 1578900841

Other end-stage renal disease (esrd) treatment clinic/center providers in Hinesville

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NPI record

NPI: 1962470195
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Jan 12, 2021
Status: Active

Other names

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

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962470195

Dva Healthcare Renal Care Inc's National Provider Identifier is 1962470195, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hinesville, GA. The record was last updated on Jan 12, 2021.