Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1891761565 Active

Practice location

750 Bridgeport Ave
Shelton, CT 06484-4734

Call (203) 925-9520 Map

Fax (203) 925-9536

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	0244 (CT)

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

NPI record

NPI: 1891761565
Entity type: Organization (Type 2)
Issued: Feb 23, 2006
Last updated: Dec 20, 2024
Status: Active

Other names

<unavail>
Shelton Dialysis · doing business as
Shelton 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 1891761565

Dva Healthcare Renal Care Inc's National Provider Identifier is 1891761565, issued on Feb 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Shelton, CT. The record was last updated on Dec 20, 2024.