Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Greenwood, SC

NPI number 1710949847 Active

Practice location

109 Overland Dr
Greenwood, SC 29646-4053

Call (864) 227-6011 Map

Fax (864) 227-2098

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	ERD-0026 (SC)

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

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NPI record

NPI: 1710949847
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Mar 13, 2025
Status: Active

Other names

<unavail>
Greenwood Dialysis · doing business as
Greenwood 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.

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About NPI 1710949847

Dva Healthcare Renal Care Inc's National Provider Identifier is 1710949847, 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 Greenwood, SC. The record was last updated on Mar 13, 2025.