Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bridgeport, CT

NPI number 1508831314 Active

Practice location

900 Madison Ave, Fl 1
Bridgeport, CT 06606-5534

Call (203) 335-0191 Map

Fax (203) 382-0322

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	0186 (CT)

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

2 other providers at this address

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

Dialyze Direct CT LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Bridgeport, CT NPI 1649671439

See all in Bridgeport →

NPI record

NPI: 1508831314
Entity type: Organization (Type 2)
Issued: Feb 23, 2006
Last updated: Apr 8, 2025
Status: Active

Other names

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

Authorized official

Samuel 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.

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About NPI 1508831314

Dva Healthcare Renal Care Inc's National Provider Identifier is 1508831314, issued on Feb 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 8, 2025.