Dva Healthcare Renal Care Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Barnwell, SC
NPI 1669434775 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1669434775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- ERD029 (SC)
- Legal business name
- DVA HEALTHCARE RENAL CARE INC
- Practice address
- 914 Reynolds Rd
Barnwell, SC 29812-6358 - Phone
- (803) 259-5805
- Fax
- (803) 259-5176
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas O Usilton Jr.
- Title
- Group Vice President
- Phone
- (770) 541-7922
Member of 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | ERD029 | SC | Yes |
Addresses
Primary practice location
914 Reynolds Rd
Barnwell, SC 29812-6358
Mailing address
5200 Virginia Way
Ste. 400 L&C
Brentwood, TN 37027-7569
Phone (615) 320-4218
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425258 | Medicaid | SC |
Other names
- Barnwell Dialysis
Other providers in Barnwell, SC
- Deichman Barnwell Chiropractic LLC
- Mark Garren Deichman
- Dana P Dobson
- Sharnte Dukes-Jamison
- Yasmin Dukes
- Edward Lemon OD PA
- Stacey Creech Epps
- Mercedes Fabio
- Teresa C. Fakoury
- Karen Ann Falcon
All providers in Barnwell, SC · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.