Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hopkinsville, KY

NPI number 1417910522 Active

Practice location

115 N Virginia St
Hopkinsville, KY 42240-3143

Call (270) 887-5622 Map

Fax (270) 886-9784

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	300056 (KY)

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

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

See all in Hopkinsville →

NPI record

NPI: 1417910522
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Mar 26, 2025
Status: Active

Other names

<unavail>
Hopkinsville Dialysis · doing business as
Hopkinsville 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.

Is this your record? How to update it.

About NPI 1417910522

Dva Renal Healthcare Inc's National Provider Identifier is 1417910522, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hopkinsville, KY. The record was last updated on Mar 26, 2025.