Organization · Type 2 NPI
Dva Healthcare of Pennsylvania LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Waynesburg, PA
NPI number
1124080825
Active
Practice location
248 Elm Dr
Waynesburg, PA 15370-8269
Fax (724) 627-5305
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1124080825
Dva Healthcare of Pennsylvania LLC's National Provider Identifier is 1124080825, 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 Waynesburg, PA. The record was last updated on Jan 15, 2026.