Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Northport, AL

NPI number 1336112598 Active

Practice location

400 Mcfarland Blvd Ste B-2
Northport, AL 35476-3371

Call (659) 239-6174 Map

Fax (659) 239-6190

Mailing address

5200 Virginia Way, L & C Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	S6303 (AL)

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

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NPI record

NPI: 1336112598
Entity type: Organization (Type 2)
Issued: Feb 8, 2006
Last updated: Aug 28, 2025
Status: Active

Other names

<unavail>
Northport Dialysis · doing business as
Northport 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 1336112598

Dva Healthcare Renal Care Inc's National Provider Identifier is 1336112598, issued on Feb 8, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Northport, AL. The record was last updated on Aug 28, 2025.