Organization
DVA RENAL HEALTHCARE, INC.
Active
Other names
Alexandria Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5150 DUKE ST, ALEXANDRIA, VA 22304-2906
(703) 823-7940
(703) 823-7945
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009600800
—
MD
05
—
1083678320
—
VA
Enumeration date
04/13/2006
Last updated
06/20/2025
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