Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Cornhusker Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
505 CORNHUSKER RD, STE 107, BELLEVUE, NE 68005-7911
(402) 292-2813
(402) 292-2823
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
ESRD040
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024961900
—
NE
Enumeration date
04/03/2006
Last updated
03/12/2026
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