Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Little Rock, AR

NPI number 1376516039 Active

Practice location

6 Freeway Dr, Ste 100
Little Rock, AR 72204-2486

Call (501) 664-6754 Map

Fax (501) 296-9942

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...

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NPI record

NPI: 1376516039
Entity type: Organization (Type 2)
Issued: Feb 10, 2006
Last updated: Jul 20, 2026
Status: Active

Other names

<unavail>
Central Little Rock Dialysis · doing business as
Central Little Rock Dialysis · doing business as

Authorized official

Samuel T Wey, AO
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 1376516039

Dva Renal Healthcare Inc's National Provider Identifier is 1376516039, issued on Feb 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Little Rock, AR. The record was last updated on Jul 20, 2026.