Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hanford, CA

NPI number 1528032505 Active

Practice location

402 W 8th St
Hanford, CA 93230-4536

Call (559) 582-5462 Map

Fax (559) 582-2329

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	240000784 (CA)

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

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NPI record

NPI: 1528032505
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Jul 11, 2024
Status: Active

Other names

<unavail>
Hanford Dialysis · doing business as
Hanford 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 1528032505

Dva Healthcare Renal Care Inc's National Provider Identifier is 1528032505, issued on Feb 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hanford, CA. The record was last updated on Jul 11, 2024.