Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Merced 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
3393 G ST, STE A, MERCED, CA 95340-1308
(209) 723-0013
(209) 723-2725
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
240000781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639148332
—
CA
Enumeration date
02/17/2006
Last updated
06/19/2025
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