Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Staunton 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
29 IDLEWOOD BLVD, STAUNTON, VA 24401-9355
(540) 885-8906
(540) 885-0824
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
—
1689638686
—
VA
05
—
2002011000
—
WV
Enumeration date
04/14/2006
Last updated
02/06/2026
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