Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Decatur, IL

NPI number 1336100734 Active

Practice location

794 E Wood St
Decatur, IL 62523-1155

Call (217) 425-6403 Map

Fax (217) 425-8724

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	N/A (IL)

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

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

Dialysis Centers of America - Illinois, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Decatur, IL NPI 1790890549
Dva Renal Healthcare IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Decatur, IL NPI 1972562890
Dialysis Centers of America - Illinois, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Decatur, IL NPI 1982719738

See all in Decatur →

NPI record

NPI: 1336100734
Entity type: Organization (Type 2)
Issued: Mar 28, 2006
Last updated: Jul 15, 2026
Status: Active

Other names

<unavail>
Decatur East Wood Dialysis · doing business as
Decatur East Wood 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 1336100734

Dva Renal Healthcare Inc's National Provider Identifier is 1336100734, issued on Mar 28, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Decatur, IL. The record was last updated on Jul 15, 2026.