Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Decatur, IL

NPI number 1972562890 Active

Practice location

1090 W Mckinley Ave
Decatur, IL 62526-3208

Call (217) 877-9351 Map

Fax (217) 877-2137

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Decatur

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NPI record

NPI: 1972562890
Entity type: Organization (Type 2)
Issued: Mar 20, 2006
Last updated: Apr 15, 2026
Status: Active

Other names

<unavail>
Macon County Dialysis · doing business as
Macon County Dialysis · doing business as

Authorized official

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

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About NPI 1972562890

Dva Renal Healthcare Inc's National Provider Identifier is 1972562890, issued on Mar 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Decatur, IL. The record was last updated on Apr 15, 2026.