Organization
DVA HEALTHCARE OF MARYLAND LLC
Active
Other names
Dundalk 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
14 COMMERCE ST, DUNDALK, MD 21222-4307
(410) 284-9000
(410) 284-5584
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2616
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800702100
—
MD
Enumeration date
03/27/2006
Last updated
02/18/2026
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