Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1154380889 Active

Practice location

1605 Medical Park Dr W
Wilson, NC 27893-2799

Call (252) 265-0020 Map

Fax (252) 265-0645

Mailing address

5200 Virginia Way, 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...

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

See all in Wilson →

NPI record

NPI: 1154380889
Entity type: Organization (Type 2)
Issued: Mar 21, 2006
Last updated: Aug 8, 2023
Status: Active

Other names

<unavail>
Forest Hills Dialysis · doing business as
Forest Hills Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director 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.

Is this your record? How to update it.

About NPI 1154380889

Dva Renal Healthcare Inc's National Provider Identifier is 1154380889, issued on Mar 21, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wilson, NC. The record was last updated on Aug 8, 2023.