Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1477526754 Active

Practice location

305 S Cedar Ave
Demopolis, AL 36732-2231

Call (334) 289-1394 Map

Fax (334) 289-1015

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	S4601 (AL)

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

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

Renal Treatment Centers-Southeast LPEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Demopolis, AL NPI 1285046979

See all in Demopolis →

NPI record

NPI: 1477526754
Entity type: Organization (Type 2)
Issued: Feb 8, 2006
Last updated: May 23, 2025
Status: Active

Other names

<unavail>
Demopolis Dialysis · doing business as
Demopolis 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 1477526754

Dva Healthcare Renal Care Inc's National Provider Identifier is 1477526754, 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 Demopolis, AL. The record was last updated on May 23, 2025.