Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Memphis East Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6029 WALNUT GROVE RD, STE C003, MEMPHIS, TN 38120-2110
(901) 747-2316
(901) 747-0634
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
115
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220604
—
MS
05
—
0442576
—
TN
05
—
139633134
—
AR
05
—
202020921
—
MD
05
—
202020921
—
MO
05
—
502928039
—
MO
Enumeration date
04/06/2006
Last updated
10/04/2023
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