Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Durham, NC

NPI number 1275592602 Active

Practice location

4307 Western Park Pl
Durham, NC 27705-1204

Call (919) 384-0712 Map

Fax (919) 384-0853

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

Supreme Care, Inc.Home Health Agency Durham, NC NPI 1699057117

Other end-stage renal disease (esrd) treatment clinic/center providers in Durham

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NPI record

NPI: 1275592602
Entity type: Organization (Type 2)
Issued: Mar 23, 2006
Last updated: Mar 20, 2025
Status: Active

Other names

<unavail>
Durham West Dialysis · doing business as
Durham West Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1275592602

Dva Renal Healthcare Inc's National Provider Identifier is 1275592602, issued on Mar 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Durham, NC. The record was last updated on Mar 20, 2025.