DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1346204617

DVA Healthcare Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Madison, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in: OH
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

6830 N Ridge Rd
Madison, OH 44057-2637
Phone: (440) 428-8377
Fax: (440) 428-0615

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence 0526DC (OH)

Record details

NPI number	1346204617
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	John Winstel — Chief Accounting Officer, Treasurer · (253) 733-4501
Other names	North Ridge Dialysis; North Ridge Dialysis
NPI enumerated	April 13, 2006
Last updated in NPPES	January 22, 2021
Certification date	January 22, 2021
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Dr. Jamal M Azem, MD Nephrology Physician · Willoughby, OH
Houssam Mhanna, MD Internal Medicine Physician · Cleveland, OH
Kenneth George Rosplock, MD Nephrology Physician · Parma Heights, OH