Organization · Type 2 NPI

Dva Healthcare Renal Care, Inc.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tallahassee, FL

NPI number 1154399491 Active

Practice location

5857 W Tennessee St
Tallahassee, FL 32304-9218

Call (850) 350-0002 Map

Fax (850) 350-0120

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...

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NPI record

NPI: 1154399491
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: Mar 18, 2026
Status: Active

Other names

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West Tallahassee Dialysis · doing business as
West Tallahassee Dialysis · doing business as

Authorized official

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

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About NPI 1154399491

Dva Healthcare Renal Care, Inc.'s National Provider Identifier is 1154399491, issued on Mar 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tallahassee, FL. The record was last updated on Mar 18, 2026.