Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Hartford 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
675 TOWER AVE, FL 2, HARTFORD, CT 06112-1260
(860) 242-0735
(860) 242-2239
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
0268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004200648
—
CT
Enumeration date
02/23/2006
Last updated
12/19/2024
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