Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Red Mountain Home Training 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
300 B 22ND ST SOUTH, BIRMINGHAM, AL 35233-2209
(205) 250-6757
(205) 458-0146
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
S3734
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156375
—
AL
Enumeration date
05/30/2013
Last updated
07/14/2025
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