SHARPSBURG DIALYSIS – NPI #1346752607
Clinic/Center

SHARPSBURG DIALYSIS is an AHC clinic located in SHARPSBURG, NC. NPPES has assigned the NPI number 1346752607 to SHARPSBURG DIALYSIS on October 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHARPSBURG DIALYSIS” is a dba name, the actual legal business name for this organization is DVA RENAL HEALTHCARE, INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Jun 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHARPSBURG DIALYSIS below.

NPI Profile for
DVA RENAL HEALTHCARE, INC.

NPI Number
1346752607
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DVA RENAL HEALTHCARE, INC.
Doing Business As (dba): SHARPSBURG DIALYSIS
Primary location
191 SE RAILROAD ST
SHARPSBURG, NC 27878
Phone: (252) 446-1791 Fax:
Mailing address
5200 VIRGINIA WAY
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4593 Fax: (800) 293-5872
Organization Subpart
No
Authorized Official
JOHN WINSTEL
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Updated
Certification Date
Jun 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHARPSBURG DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1346752607
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.