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SOUTHERN MARYLAND DIALYSIS
NPI 1386604932
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Clinton, MD

Active since March 27, 2006
9211 STUART LN FL 4, CLINTON, MD 20735(301) 856-6602(301) 856-6623 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2020, Jun 7, 2019, Jul 12, 2018 and 1 more (4 updates tracked since 2017).

About Southern Maryland Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MARYLAND DIALYSIS (NPI 1386604932) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Clinton, Maryland and active in the NPI registry since March 2006. The organization lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1386604932
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address9211 STUART LN FL 4Clinton, MD 20735-2712
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Phone(301) 856-6602
Fax(301) 856-6623
Organization SubpartNo
Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4500
Enumeration DateMarch 27, 2006
Last NPPES UpdateFebruary 27, 20204 updates tracked since enumeration
✔ NPI 1386604932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in MD · E2563
9211 STUART LN FL 4, Clinton, MD 20735
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Other Names 1

Doing Business AsSouthern Maryland Dialysis

Other Identifiers 3

Medicaid002125633VA
Medicaid033655800DC
Medicaid724400200MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1386604932. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Southern Maryland Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 9211 Stuart Ln Fl 4, Clinton, MD 20735. The listed phone number is (301) 856-6602.

What is DVA Healthcare Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Renal Care Inc was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.