Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Charlottesville North Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1800 TIMBERWOOD BLVD, STE C, CHARLOTTESVILLE, VA 22911-7544
(434) 973-8555
(434) 973-1088
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010376793
—
VA
Enumeration date
05/01/2006
Last updated
02/16/2026
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