Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Meadville 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
19050 PARK AVENUE PLZ, MEADVILLE, PA 16335-4012
(814) 336-6044
(814) 337-2294
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007635580122
—
PA
05
—
2223016
—
OH
Enumeration date
04/05/2006
Last updated
12/22/2025
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