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Dva Healthcare Southwest Ohio Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfield, Ohio
NPI 1720042096

Dva Healthcare Southwest Ohio Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OH and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Southwest Ohio Llc practices in Fairfield, OH. The NPI Number for Dva Healthcare Southwest Ohio Llc is 1720042096 and holds a License No. 0491DC (Ohio).

The current practice location address for Dva Healthcare Southwest Ohio Llc is 1210 Hicks Blvd, Fairfield, OH and can be reached out via phone at 513-939-1110 and via fax at 513-939-1202.

Location: 1210 Hicks Blvd, Fairfield, OH, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720042096
Provider Name
Dva Healthcare Southwest Ohio Llc
Credential
Provider Entity Type
Organization
Address
1210 Hicks Blvd, Fairfield, OH, 37027-7569
Phone Number
513-939-1110
Fax Number
513-939-1202
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3900031000 05 KY
institution
Provider Business Practice Location Address Details
Address
1210 Hicks Blvd
City
Fairfield
State
Ohio
Zip
45014-1921
Phone Number
513-939-1110
Fax Number
513-939-1202
person
Provider Business Mailing Address Details
Address
1210 Hicks Blvd
City
Fairfield
State
Ohio
Zip
45014-1921
Phone Number
513-939-1110
Fax Number
513-939-1202
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
0491DC (Ohio)
Definition
Definition to come...
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