Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1629415609 Active

Practice location

300 B 22nd St South
Birmingham, AL 35233-2209

Call (205) 250-6757 Map

Fax (205) 458-0146

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	S3734 (AL)

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

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NPI record

NPI: 1629415609
Entity type: Organization (Type 2)
Issued: May 30, 2013
Last updated: Jul 14, 2025
Status: Active

Other names

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Red Mountain Home Training Dialysis · doing business as
Red Mountain Home Training 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 1629415609

Dva Renal Healthcare Inc's National Provider Identifier is 1629415609, issued on May 30, 2013. 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 Jul 14, 2025.