Provider Demographics
NPI:1457313231
Name:DVA HEALTHCARE OF PENNSYLVANIA LLC
Entity Type:Organization
Organization Name:DVA HEALTHCARE OF PENNSYLVANIA LLC
Other - Org Name:PARIS DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIR LICENSURE & CERTIFICATION
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-341-6641
Mailing Address - Street 1:5200 VIRGINIA WAY
Mailing Address - Street 2:L & C DEPT
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7569
Mailing Address - Country:US
Mailing Address - Phone:615-341-6410
Mailing Address - Fax:888-662-8259
Practice Address - Street 1:32 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:PA
Practice Address - Zip Code:15021-8529
Practice Address - Country:US
Practice Address - Phone:724-729-3350
Practice Address - Fax:724-729-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0005896000Medicaid
OH2071949Medicaid
PA1007451930001Medicaid
OH2071949Medicaid