Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Roseburg, OR

NPI number 1568424711 Active

Practice location

2410 NW Edenbower Blvd, Ste 178
Roseburg, OR 97471-8830

Call (541) 672-4608 Map

Fax (541) 672-4817

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	170049 (OR)

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

Another provider at this address

Quest Diagnostics Clinical Laboratories IncClinical Medical Laboratory Roseburg, OR NPI 1285652800

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

Irc-Renasolve Roseburg Joint Venture LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Roseburg, OR NPI 1245085836

See all in Roseburg →

NPI record

NPI: 1568424711
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Sep 16, 2025
Status: Active

Other names

<unavail>
Roseburg Mercy Dialysis · doing business as
Roseburg Mercy 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 1568424711

Dva Healthcare Renal Care Inc's National Provider Identifier is 1568424711, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Roseburg, OR. The record was last updated on Sep 16, 2025.