Dva Renal Healthcare Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cameron, MO
NPI 1902867203 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1902867203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- DVA RENAL HEALTHCARE INC
- Practice address
- 1003 W 4TH St
Cameron, MO 64429-1466 - Phone
- (816) 632-6056
- Fax
- (816) 632-6058
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
Authorized official
- Name
- John Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
1003 W 4TH St
Cameron, MO 64429-1466
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504868506 | Medicaid | MO |
Other names
- Cameron Dialysis
Other providers in Cameron, MO
- Margaret M J Dancer
- Kendall P Deselms
- Cassi Macrae Deskins
- Emily Paige Doty
- Douglas a Wyckoff DDS PC
- Sheri Lynn Ealey
- Elizabeth E Eickman
- Kathy Clydean Erickson
- Family Foot Healthcare LLC
- Kathleen Bryn Fitzmaurice
All providers in Cameron, MO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2020. 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.