Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Tucson South Central Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2024 E IRVINGTON RD, STE 7, TUCSON, AZ 85714-1825
(520) 573-0200
(520) 573-0210
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC2992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633546
—
AZ
Enumeration date
02/13/2006
Last updated
03/16/2026
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