NORTHUMBERLAND DIALYSIS
NPI 1619939477
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Carmel, PA

Active since April 05, 2006
10932 W STATE ROUTE 61, MOUNT CARMEL, PA 17851(570) 339-5558(570) 339-5997 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2023, Apr 14, 2021, Feb 5, 2019 (3 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About NORTHUMBERLAND DIALYSIS

This page provides the complete NPI Profile along with additional information for Northumberland Dialysis, a provider established in Mount Carmel, Pennsylvania operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1619939477 assigned on April 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Northumberland Dialysis. The authorized official of this NPI record is Samuel T Wey (Vp Licensure & Certification)

NPI
1619939477 Verify this NPI
Provider Legal Name
DVA HEALTHCARE RENAL CARE INC
Other Organization Name
NORTHUMBERLAND DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10932 W STATE ROUTE 61 MOUNT CARMEL, PA 17851
Location Phone
(570) 339-5558
Location Fax
(570) 339-5997
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 341-6410
Mailing Fax
(888) 662-8259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2006
Last Update Date
02-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL T WEY

Authorized Official Title
VP LICENSURE & CERTIFICATION
Authorized Official Phone
(615) 341-6641

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007635580102MEDICAID (05)PA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619939477, enumerated as an "organization" on April 05, 2006.

The provider is located at 10932 W STATE ROUTE 61 MOUNT CARMEL, PA 17851 and the phone number is (570) 339-5558.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.