Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake Charles, LA

NPI number 1154380228 Active

Practice location

300 18th St
Lake Charles, LA 70601-7342

Call (337) 433-6831 Map

Fax (337) 433-6613

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	060 (LA)

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Lake Charles

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NPI record

NPI: 1154380228
Entity type: Organization (Type 2)
Issued: Mar 18, 2006
Last updated: Jan 27, 2026
Status: Active

Other names

<unavail>
Lake Charles Southwest Dialysis · doing business as
Lake Charles Southwest Dialysis · doing business as

Authorized official

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

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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 1154380228

Dva Renal Healthcare Inc's National Provider Identifier is 1154380228, issued on Mar 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 27, 2026.