Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1598738080 Active

Practice location

1105 E Park Dr
Birmingham, AL 35235-2560

Call (205) 833-6003 Map

Fax (205) 836-5157

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	S3705 (AL)

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

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NPI record

NPI: 1598738080
Entity type: Organization (Type 2)
Issued: Feb 7, 2006
Last updated: Nov 14, 2024
Status: Active

Other names

<unavail>
Birmingham East Dialysis · doing business as
Birmingham East Dialysis · doing business as

Authorized official

Samuel 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 1598738080

Dva Healthcare Renal Care Inc's National Provider Identifier is 1598738080, issued on Feb 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Birmingham, AL. The record was last updated on Nov 14, 2024.