Dva Healthcare Of Massachusetts INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Medford, Massachusetts
1205415593- Practice location
- 712 Fellsway, Medford, MA 02115
- Phone
- 781-957-4032
- Fax
- 781-957-4050
- Last updated
- April 7, 2025
Dva Healthcare Of Massachusetts INC is a healthcare organization based in Medford, MA. Dva Healthcare Of Massachusetts INC practices in Medford, MA. The NPI Number for Dva Healthcare Of Massachusetts INC is 1205415593. The current practice location address for Dva Healthcare Of Massachusetts INC is 712 Fellsway, Medford, MA 02115 and can be reached out via phone at 781-957-4032 and via fax at 781-957-4050.
Provider Profile Details
- NPI Number
- 1205415593
- Provider Name
- Dva Healthcare Of Massachusetts INC
- Provider Entity Type
- Organization
- Address
- 712 Fellsway, Medford, MA 02115
- Phone Number
- 781-957-4032
- Fax Number
- 781-957-4050
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- Yes
- Parent Organization
- Davita INC
- Authorized Official
- Samuel T Wey · Vp Licensure & Certification · 615-341-6641
- Other Names
- Mystic River Home Training (Doing Business As)
- Provider Enumeration Date
- April 5, 2021
- Last Update Date
- April 7, 2025
- Certification Date
- April 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 712 Fellsway
Medford, MA 02115 - City
- Medford
- State
- Massachusetts
- Zip
- 02115
- Phone Number
- 781-957-4032
- Fax Number
- 781-957-4050
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
L And C Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dva Healthcare Of Massachusetts INC?
The NPI number of Dva Healthcare Of Massachusetts INC is 1205415593. It was assigned on April 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Dva Healthcare Of Massachusetts INC?
Dva Healthcare Of Massachusetts INC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Dva Healthcare Of Massachusetts INC practice?
The practice location is 712 Fellsway, Medford, MA 02115. The office can be reached at 781-957-4032 (phone) or 781-957-4050 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205415593 directly on the NPPES registry website.