COUNCIL BLUFFS DIALYSIS CENTER – NPI #1811171440
Clinic/Center
COUNCIL BLUFFS DIALYSIS CENTER is an AHC clinic located in COUNCIL BLUFFS, IA. NPPES has assigned the NPI number 1811171440 to COUNCIL BLUFFS DIALYSIS CENTER on December 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNCIL BLUFFS DIALYSIS CENTER” 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 last updated on Nov 07, 2024. 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 COUNCIL BLUFFS DIALYSIS CENTER below.
NPI Profile for
DVA RENAL HEALTHCARE INC
(more than 18 years ago)
COUNCIL BLUFFS, IA 51503-9077 Phone: (712) 388-0261 Fax: (712) 388-0269
ATT: L&C DEPT
BRENTWOOD, TN 37027-7569 Phone: Fax:
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641
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 for COUNCIL BLUFFS DIALYSIS CENTER
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IA | 1811171440 | |
| medicaid | NE | ========= |
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.