Dva Healthcare Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Fredericksburg, TX. Organization (NPI-2).
NPI number1285697235
StatusActive
Last updated in NPPESMar 2, 2009
Details
- NPI
- 1285697235
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Healthcare Renal Care INC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Mar 2, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 006348 | TX | Yes |
Other names
- Fredericksburg Dialysis (Doing Business As)
Practice location
402 W Windcrest StFredericksburg, TX 78624-4465
Phone 830-997-3134 · Fax 830-990-9252
Mailing address
5200 Virginia WaySte 400 L&C
Brentwood, TN 37027-7569
Phone 615-320-4521 · Fax 866-890-5560
Authorized official
James K Hilger
Vice President
2533821919
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