NPI 1023071545

Dva Renal Healthcare INC

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

Practice location

Address: 1205 Marlin Rd, Memphis, TN 38116-5812
Phone: (901) 346-6637
Fax: (901) 346-7884
Mailing address: 5200 Virginia Way L&c Department, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Sr Director Licensure&certification
Phone: (615) 341-6641

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 136 (TN)

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1023071545
Entity type: Organization
NPI issued: 7 Apr 2006
Record last updated: 5 Oct 2023

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.