DVA RENAL HEALTHCARE INC NPI 1861456121

NPI Information

NPI: 1861456121
Provider Name: DVA RENAL HEALTHCARE INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: COLUMBUS DOWNTOWN DIALYSIS
CLIA Number: 36D2297690
Address: 415 E MOUND ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 288-1773

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NPI Details

DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Columbus, OH. DVA RENAL HEALTHCARE INC NPI is 1861456121. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbus Downtown Dialysis.

The provider's business location address is:

415 E MOUND ST
COLUMBUS, OH
ZIP 43215-512
Phone: (614) 288-1773
Fax: (614) 228-1881

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The CLIA number assigned to this NPI record is 36D2297690 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 4/14/2008.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	0693DC	OHIO	Yes

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
1	362650	MEDICARE OSCAR/CERTIFICATION
2	02553097	MEDICAID	NEW YORK
3	2572747	MEDICAID	OHIO

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: 11/21/2025

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