Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Zanesville 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
3120 NEWARK RD, ZANESVILLE, OH 43701-9659
(740) 454-2911
(740) 452-0847
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0250DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2220215
—
OH
05
—
3040015000
—
WV
Enumeration date
04/14/2006
Last updated
11/06/2023
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