Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1750343828 Active

Practice location

844 N Hanover St
Elizabethtown, PA 17022-1303

Call (717) 361-0151 Map

Fax (717) 361-8875

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: 1750343828
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Jun 17, 2025
Status: Active

Other names

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

Authorized official

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

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About NPI 1750343828

Dva Healthcare Renal Care Inc's National Provider Identifier is 1750343828, 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 Elizabethtown, PA. The record was last updated on Jun 17, 2025.