Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1457324220 Active

Practice location

422 E Dr Hicks Blvd Ste B
Florence, AL 35630-5730

Call (256) 764-5050 Map

Fax (256) 767-3728

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	S3901 (AL)

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

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NPI record

NPI: 1457324220
Entity type: Organization (Type 2)
Issued: Feb 10, 2006
Last updated: Nov 24, 2025
Status: Active

Other names

<unavail>
Florence Dialysis · doing business as
Florence Dialysis · doing business as

Authorized official

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

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About NPI 1457324220

Dva Renal Healthcare Inc's National Provider Identifier is 1457324220, 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 Florence, AL. The record was last updated on Nov 24, 2025.