Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Alton Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
309 HOMER ADAMS PKWY, ALTON, IL 62002-5929
(618) 462-0186
(618) 462-0213
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
N/A
IL
Other
Enumeration date
03/27/2006
Last updated
12/02/2025
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