Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Orangeburg, SC

NPI number 1093777146 Active

Practice location

124 Fire Tower Rd
Orangeburg, SC 29118-1401

Call (803) 531-6202 Map

Fax (803) 534-5263

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	ERD-0023 (SC)

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

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NPI record

NPI: 1093777146
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Jan 25, 2024
Status: Active

Other names

<unavail>
North Orangeburg Dialysis · doing business as
North Orangeburg Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(012) 061-5203

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093777146

Dva Healthcare Renal Care Inc's National Provider Identifier is 1093777146, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Orangeburg, SC. The record was last updated on Jan 25, 2024.