Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Hospital Hill 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
900 E 21ST ST, KANSAS CITY, MO 64108-2703
(816) 842-9286
(816) 221-0169
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6264
(800) 297-2925
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
—
508906401
—
MO
Enumeration date
03/31/2006
Last updated
06/12/2024
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