Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Auburn 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
3126 PROFESSIONAL DR, STE 100, AUBURN, CA 95603-2411
(530) 886-8221
(530) 886-8608
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
110000450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235103599
—
CA
Enumeration date
02/14/2006
Last updated
10/20/2025
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