Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Tipton County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
107 TENNESSEE AVE, COVINGTON, TN 38019-3902
(901) 475-0410
(901) 475-9040
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
48
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442604
—
TN
05
—
05774858
—
MS
05
—
3900014600
—
KY
Enumeration date
04/07/2006
Last updated
09/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us