Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Eighth Street 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
920 BLADENSBURG RD NE, WASHINGTON, DC 20002-3930
(202) 399-0812
(202) 396-8767
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00925136
—
VA
05
—
033663900
—
DC
05
—
910510700
—
MD
Enumeration date
02/27/2006
Last updated
05/01/2025
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