Dva Healthcare Of Massachusetts INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Medford, Massachusetts
1891754883- Practice location
- 10 Cabot RD, Ste 103B, Medford, MA 02155-5275
- Phone
- 781-306-9740
- Fax
- 781-306-9745
- Last updated
- March 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 1891754883 and holds a License No. EQ1D (MA). The current practice location address for Dva Healthcare Of Massachusetts INC is 10 Cabot RD, Ste 103B, Medford, MA 02155-5275 and can be reached out via phone at 781-306-9740 and via fax at 781-306-9745.
Provider Profile Details
- NPI Number
- 1891754883
- Provider Name
- Dva Healthcare Of Massachusetts INC
- Provider Entity Type
- Organization
- Address
- 10 Cabot RD, Ste 103B, Medford, MA 02155-5275
- Phone Number
- 781-306-9740
- Fax Number
- 781-306-9745
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel T Wey · Vp Licensure & Certification · 615-341-6641
- Other Names
- Wellington Circle Dialysis Center (Doing Business As)
- Provider Enumeration Date
- March 20, 2006
- Last Update Date
- March 7, 2025
- Certification Date
- March 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Cabot RD
Ste 103B
Medford, MA 02155-5275 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5275
- Phone Number
- 781-306-9740
- Fax Number
- 781-306-9745
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
Att: L&c Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
License Information
- License Number
- EQ1D
- License State
- MA
- 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 1891754883. 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 EQ1D.
Where does Dva Healthcare Of Massachusetts INC practice?
The practice location is 10 Cabot RD, Ste 103B, Medford, MA 02155-5275. The office can be reached at 781-306-9740 (phone) or 781-306-9745 (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 1891754883 directly on the NPPES registry website.