Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Orangeburg, SC

NPI number 1235191230 Active

Practice location

1080 Summers Ave
Orangeburg, SC 29115-4920

Call (803) 539-0084 Map

Fax (803) 539-0097

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	ERD-0083 (SC)

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

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NPI record

NPI: 1235191230
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: Aug 17, 2023
Status: Active

Other names

<unavail>
South Orangeburg Dialysis · doing business as
South Orangeburg Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director,licensure&certification
(615) 341-6641

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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 1235191230

Dva Healthcare Renal Care Inc's National Provider Identifier is 1235191230, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Orangeburg, SC. The record was last updated on Aug 17, 2023.