ROXBOROUGH DIALYSIS – NPI #1891757639
Clinic/Center
ROXBOROUGH DIALYSIS is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1891757639 to ROXBOROUGH DIALYSIS on April 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROXBOROUGH 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 12 years ago on Feb 18, 2014. 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 ROXBOROUGH DIALYSIS below.
NPI Profile for
DVA HEALTHCARE RENAL CARE INC
(more than 20 years ago)
PHILADELPHIA, PA 19128-4301 Phone: (215) 487-1869 Fax: (215) 487-1062
L&C DEPT
BRENTWOOD, TN 37027-7569 Phone: (615) 320-4218 Fax: (303) 209-7825
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
Identifiers for ROXBOROUGH 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NC | 3422562 | |
| MEDICAID | NJ | 8443700 | |
| MEDICAID | PA | 1007635580127 |
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.