Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · New Haven, CT

NPI number 1689640997 Active

Practice location

15 Center St, Ste 201
New Haven, CT 06510-3003

Call (203) 859-7770 Map

Fax (203) 495-1454

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	0267 (CT)

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

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NPI record

NPI: 1689640997
Entity type: Organization (Type 2)
Issued: Feb 27, 2006
Last updated: Nov 26, 2025
Status: Active

Other names

<unavail>
New Haven Dialysis · doing business as
New Haven 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 1689640997

Dva Renal Healthcare Inc's National Provider Identifier is 1689640997, issued on Feb 27, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in New Haven, CT. The record was last updated on Nov 26, 2025.