DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1447212451

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

Licensed in: SC
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

602 N F R Huff Dr
St Matthews, SC 29135-9596 Not confirmed with CMS for 19 years — call before visiting
Phone: (803) 655-7758
Fax: (803) 655-7764

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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 ERD066 (SC)

Record details

NPI number	1447212451
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Thomas Usilton — Group Vice President · (770) 541-7922
Other names	St Matthews Dialysis
NPI enumerated	April 5, 2006
Last updated in NPPES	July 11, 2007
Mailing address	5200 Virginia Way, Ste. 400 L&C, Brentwood, TN 37027-7569