MCKEESPORT DIALYSIS – NPI #1518929447
Clinic/Center

MCKEESPORT DIALYSIS is an AHC clinic located in WHITE OAK, PA. NPPES has assigned the NPI number 1518929447 to MCKEESPORT DIALYSIS on April 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCKEESPORT DIALYSIS” is a dba name, the actual legal business name for this organization is DVA HEALTHCARE RENAL CARE 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 6 years ago on Jun 15, 2020. 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 MCKEESPORT DIALYSIS below.

NPI Profile for
DVA HEALTHCARE RENAL CARE INC

NPI Number
1518929447
Enumeration Date

(more than 20 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 HEALTHCARE RENAL CARE INC
Doing Business As (dba): MCKEESPORT DIALYSIS
Primary location
2001 LINCOLN WAY
WHITE OAK, PA 15131-2419
Phone: (412) 678-0183 Fax: (412) 678-8417
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 341-6410 Fax: (888) 662-8259
Organization Subpart
No
Authorized Official
JOHN WINSTEL
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Updated
Certification Date
Jun 15, 2020

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 MCKEESPORT 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
MEDICAIDOH2231267
MEDICAIDPA1007635580063
MEDICAIDWV040301300
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.