Organization · Type 2 NPI

Dva Healthcare of Tuscaloosa LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tuscaloosa, AL

NPI number 1003889171 Active

Practice location

220 15th St
Tuscaloosa, AL 35401-3523

Call (205) 345-6004 Map

Fax (205) 345-5071

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	S6301 (AL)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1003889171
Entity type: Organization (Type 2)
Issued: Feb 9, 2006
Last updated: Oct 27, 2026
Status: Active

Other names

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Tuscaloosa University Dialysis · doing business as
Tuscaloosa University Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1003889171

Dva Healthcare of Tuscaloosa LLC's National Provider Identifier is 1003889171, issued on Feb 9, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tuscaloosa, AL. The record was last updated on Oct 27, 2026.