Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Whitebridge 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
103 WHITE BRIDGE PIKE, STE 6, NASHVILLE, TN 37209-4539
(615) 352-5535
(615) 352-5875
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
41
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442540
—
TN
05
—
152750734
—
AR
05
—
3900046800
—
KY
Enumeration date
04/07/2006
Last updated
04/14/2026
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