Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Gadsden 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
409 S 1ST ST, GADSDEN, AL 35901-5358
(256) 547-2511
(256) 547-8521
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
S2801
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2501D
—
AL
Enumeration date
02/08/2006
Last updated
08/12/2024
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