Organization
DVA HEALTHCARE OF MASSACHUSETTS INC
Active
Other names
Weymouth 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
330 LIBBEY INDUSTRIAL PKWY, STE 900, WEYMOUTH, MA 02189-3122
(781) 331-7700
(781) 331-3046
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
EKOM
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028113G
—
MA
Enumeration date
03/20/2006
Last updated
06/26/2025
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