Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Mercy 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
225 N CALVERT ST, BALTIMORE, MD 21202-4937
(667) 290-9910
(667) 309-2417
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
E2542
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007635580126
—
PA
05
—
529100300
—
MD
Enumeration date
03/24/2006
Last updated
01/28/2026
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