Organization
ARROWHEAD DIALYSIS LLC
Active
Parent organization
DVA HEALTHCARE RENAL CARE INC
Other names
Northriver Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DVA HEALTHCARE RENAL CARE INC
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1850 MCFARLAND BLVD N STE B, TUSCALOOSA, AL 35406-2138
(205) 556-5541
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, 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
—
262561
—
AL
Enumeration date
08/11/2020
Last updated
10/15/2025
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