Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Charles, MO
NPI number
1194786715
Active
Practice location
2125 Bluestone Dr
St. Charles, MO 63303-6704
Fax (636) 940-0797
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...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in St. Charles
About NPI 1194786715
Dva Healthcare Renal Care Inc's National Provider Identifier is 1194786715, issued on Mar 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Charles, MO. The record was last updated on Jan 28, 2019.