Organization · Type 2 NPI
Dva Healthcare Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairview Heights, IL
NPI number
1013986389
Active
Practice location
821 Lincoln Hwy
Fairview Heights, IL 62208-2216
Fax (618) 632-8903
Mailing address
5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1013986389
Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1013986389, issued on Mar 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fairview Heights, IL. The record was last updated on Aug 22, 2020.