Organization
DVA HEALTHCARE OF TUSCALOOSA LLC
Active
Other names
Pickens County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
289 WILLIAM E HILL DR, SUITE A, CARROLLTON, AL 35447-3247
(205) 367-1194
(205) 367-1248
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
S5401
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127512
—
AL
Enumeration date
08/02/2010
Last updated
09/17/2025
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