Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Elizabeth, PA

NPI number 1205898376 Active

Practice location

201 Mckeesport Rd
Elizabeth, PA 15037-1623

Call (412) 384-1822 Map

Fax (412) 384-1828

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...

NPI record

NPI: 1205898376
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Aug 16, 2024
Status: Active

Other names

<unavail>
Elizabeth Dialysis · doing business as
Elizabeth Dialysis · doing business as

Authorized official

Samuel T Wey
VP 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.

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About NPI 1205898376

Dva Healthcare Renal Care Inc's National Provider Identifier is 1205898376, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Elizabeth, PA. The record was last updated on Aug 16, 2024.