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DVA HEALTHCARE OF MARYLAND LLC NPI 1629038252


NPI Information

NPI: 1629038252
Provider Name: DVA HEALTHCARE OF MARYLAND LLC

Doing Business As: SILVER SPRING DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 21D0952274

Address:
8040 GEORGIA AVE STE 150
SILVER SPRING, MD
ZIP 20910
Phone: (301) 608-8961
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DVA HEALTHCARE OF MARYLAND LLC is an end-stage renal disease (esrd) treatment clinic center in Silver Spring, MD. DVA HEALTHCARE OF MARYLAND LLC NPI is 1629038252. The provider is registered as an organization entity type.
The provider Is Doing Business As Silver Spring Dialysis.

The provider's business location address is:

8040 GEORGIA AVE STE 150
SILVER SPRING, MD
ZIP 20910-989
Phone: (301) 608-8961
Fax: (301) 608-8966

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 21D0952274 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 12/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentE2593MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1033167300MEDICAIDDISTRICT OF COLUMBIA
2613303700MEDICAIDMARYLAND
31629038252MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.