Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hazelwood, MO

NPI number 1194786814 Active

Practice location

637 Dunn Rd, Ste 125
Hazelwood, MO 63042-1757

Fax (314) 731-8084

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1194786814

Dva Renal Healthcare Inc's National Provider Identifier is 1194786814, 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 Hazelwood, MO. The record was last updated on Sep 3, 2026.