Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Florence 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
422 E DR HICKS BLVD STE B, FLORENCE, AL 35630-5730
(256) 764-5050
(256) 767-3728
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
S3901
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012529
—
TN
05
—
00220710
—
MS
05
—
1457324220
—
AL
Enumeration date
02/10/2006
Last updated
11/24/2025
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