Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Goldsboro, NC

NPI number 1821058900 Active

Practice location

1704 Wayne Memorial Dr
Goldsboro, NC 27534-2240

Call (919) 739-6505 Map

Fax (919) 739-6506

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...

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NPI record

NPI: 1821058900
Entity type: Organization (Type 2)
Issued: Mar 24, 2006
Last updated: Jan 30, 2024
Status: Active

Other names

<unavail>
Goldsboro South Dialysis · doing business as
Goldsboro South 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 1821058900

Dva Renal Healthcare Inc's National Provider Identifier is 1821058900, issued on Mar 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Goldsboro, NC. The record was last updated on Jan 30, 2024.