Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Charlotte, NC

NPI number 1023077682 Active

Practice location

2321 W Morehead St, Ste 102
Charlotte, NC 28208-5145

Call (704) 333-5535 Map

Fax (704) 333-3862

Mailing address

5200 Virginia Way, Att: L&c Department
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...

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NPI record

NPI: 1023077682
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: Oct 23, 2023
Status: Active

Other names

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Charlotte Dialysis · doing business as
Charlotte Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director Licensure&certification
(615) 341-6641

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About NPI 1023077682

Dva Healthcare Renal Care Inc's National Provider Identifier is 1023077682, issued on Mar 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 23, 2023.