Active NPIOrganization

Dva Healthcare Of Massachusetts, INC.

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Boston, Massachusetts

NPI Number1295794121
Practice location
330 Brookline Ave, Building Gz-5, Boston, MA 02215-5400
Fax
617-667-7649
Last updated
August 22, 2020

Dva Healthcare Of Massachusetts, INC. is a healthcare organization based in Boston, MA. Dva Healthcare Of Massachusetts, INC. practices in Boston, MA. The NPI Number for Dva Healthcare Of Massachusetts, INC. is 1295794121 and holds a License No. EZPF (MA). The current practice location address for Dva Healthcare Of Massachusetts, INC. is 330 Brookline Ave, Building Gz-5, Boston, MA 02215-5400 and can be reached out via phone at 617-667-3211 and via fax at 617-667-7649.

Provider Profile Details

NPI Number
1295794121
Provider Name
Dva Healthcare Of Massachusetts, INC.
Provider Entity Type
Organization
Address
330 Brookline Ave, Building Gz-5, Boston, MA 02215-5400
Phone Number
617-667-3211
Fax Number
617-667-7649
Organization Subpart
No
Authorized Official
Thomas O Usilton · Group Vice President · 770-541-7922
Other Names
Brookline Dialysis (Doing Business As)
Provider Enumeration Date
March 20, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Brookline Ave
Building Gz-5
Boston, MA 02215-5400
City
Boston
Zip
02215-5400
Phone Number
617-667-3211
Fax Number
617-667-7649
Boston, MA 02215Get directions →

Provider Business Mailing Address Details

Address
5200 Virginia Way
Suite 400 L&c
Brentwood, TN 37027-7569
City
Brentwood
State
TN
Zip
37027-7569
Phone Number
615-320-4218
Fax Number
303-209-7825

License Information

License Number
EZPF
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers near Boston, MA

View all Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers in Boston →

Frequently Asked Questions

What is the NPI number of Dva Healthcare Of Massachusetts, INC.?

The NPI number of Dva Healthcare Of Massachusetts, INC. is 1295794121. It was assigned on March 20, 2006 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), licensed in MA under license number EZPF.

Where does Dva Healthcare Of Massachusetts, INC. practice?

The practice location is 330 Brookline Ave, Building Gz-5, Boston, MA 02215-5400. The office can be reached at 617-667-3211 (phone) or 617-667-7649 (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 1295794121 directly on the NPPES registry website.

Browse related providers