Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Birmingham Central 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
728 RICHARD ARRINGTON JR BLVD S, BIRMINGHAM, AL 35233-2106
(205) 250-6760
(205) 297-9190
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
S3701
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2592D
—
AL
Enumeration date
02/07/2006
Last updated
09/19/2025
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