Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Belpre 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
2906 WASHINGTON BLVD, BELPRE, OH 45714-1848
(740) 401-0607
(740) 401-0691
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
0746DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2524816
—
OH
05
—
3810001402
—
WV
Enumeration date
04/13/2006
Last updated
01/02/2024
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