DUBOIS DIALYSIS – NPI #1740246404
Clinic/Center

DUBOIS DIALYSIS is an AHC clinic located in DUBOIS, PA. NPPES has assigned the NPI number 1740246404 to DUBOIS DIALYSIS on April 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUBOIS 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 19 years ago on Aug 16, 2007. 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 DUBOIS DIALYSIS below.

NPI Profile for
DVA HEALTHCARE RENAL CARE INC

NPI Number
1740246404
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): DUBOIS DIALYSIS
Primary location
5780 SCHAFFER RD
DUBOIS, PA 15801
Phone: (814) 375-0644 Fax: (814) 375-1263
Mailing address
5200 VIRGINIA WAY
STE. 400 L&C
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4218 Fax: (303) 209-7825
Organization Subpart
No
Authorized Official
THOMAS USILTON
GROUP VICE PRESIDENT
Phone: (770) 541-7922
Updated
Identifiers

Identifiers for DUBOIS 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
MEDICAIDPA1007635580124
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.