Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Columbia, TN

NPI number 1104888726 Active

Practice location

1705 Grove St
Columbia, TN 38401-3517

Call (931) 381-4445 Map

Fax (931) 381-9398

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	109 (TN)

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

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NPI record

NPI: 1104888726
Entity type: Organization (Type 2)
Issued: Apr 6, 2006
Last updated: Aug 21, 2026
Status: Active

Other names

<unavail>
Columbia Dialysis · doing business as
Columbia Dialysis · doing business as

Authorized official

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

Verify this record

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 1104888726

Dva Renal Healthcare Inc's National Provider Identifier is 1104888726, issued on Apr 6, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Columbia, TN. The record was last updated on Aug 21, 2026.