Dva Renal Healthcare Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

112 Issued in TN

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Lawrenceburg Dialysis

Practice address

2022 N Locust Ave
Lawrenceburg, TN 38464-2336

Phone

(931) 762-3136

Fax

(931) 762-6641

NPI assigned

Apr 6, 2006

Last updated

Dec 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James K Hilger Jr.

Title

Chief Accounting Officer

Phone

(931) 762-3136

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrenceburg Dialysis Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1407819089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE. 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6657",
            "fax_number": "866-651-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642336",
            "telephone_number": "931-762-3136",
            "fax_number": "931-762-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "931-762-3136",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TN",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrenceburg Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Jay M Chapman Vision Center
• Melissa Drennon
• Nikita N Duke, CRNP
• Jennifer Kay Duncan, MS, CCC-SLP
• Allan Ray Dupriest, B.A.
• East Nashville Aesthetic Dentistry PLLC (Dentistry of Lawrenceburg)
• Daniel Jay Edwards, LPC/MHSP
• Ellen Edwards, PA-C
• Emergency Coverage Services, PC
• Ashley Brooke Evans, PTA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.