Organization · Type 2 NPI
Dva Washington University Healthcare of Greater ST Louis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hazelwood, MO
NPI number
1831032804
Active
Practice location
1 Village Square Shopping Center, Suite 1
Hazelwood, MO 63042-1817
Mailing address
5200 Virginia Way, Licensure And Certification 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...
3 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Hazelwood
About NPI 1831032804
Dva Washington University Healthcare of Greater ST Louis LLC's National Provider Identifier is 1831032804, issued on Apr 13, 2026. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hazelwood, MO. The record was last updated on Sep 10, 2026.