Organization · Type 2 NPI

Dva Healthcare of Norwich LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Norwich, CT

NPI number 1255307039 Active

Practice location

113 Salem Tpke Ste 4
Norwich, CT 06360-6484

Call (860) 800-6388 Map

Fax (860) 800-6425

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	0279 (CT)

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

NPI record

NPI: 1255307039
Entity type: Organization (Type 2)
Issued: Feb 23, 2006
Last updated: Nov 13, 2024
Status: Active

Other names

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

Authorized official

Samuel T. Wey
VP, 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 1255307039

Dva Healthcare of Norwich LLC's National Provider Identifier is 1255307039, issued on Feb 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Norwich, CT. The record was last updated on Nov 13, 2024.