NPI 1023070653

Dva Renal Healthcare INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Cookeville, TN

Practice location

Address: 320 N Willow Ave, Cookeville, TN 38501-2337
Phone: (931) 520-7763
Fax: (931) 646-4866
Mailing address: 5200 Virginia Way L&c Department, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 110 (TN)

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1023070653
Entity type: Organization
NPI issued: 6 Apr 2006
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.