Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mount Carmel, PA

NPI number 1619939477 Active

Practice location

10932 W State Route 61
Mount Carmel, PA 17851-2575

Call (570) 339-5558 Map

Fax (570) 339-5997

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	None listed

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

NPI record

NPI: 1619939477
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: Feb 22, 2024
Status: Active

Other names

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

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1619939477

Dva Healthcare Renal Care Inc's National Provider Identifier is 1619939477, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mount Carmel, PA. The record was last updated on Feb 22, 2024.