Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Tucson West 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
1780 W ANKLAM RD, TUCSON, AZ 85745-2632
(520) 624-2220
(520) 620-6365
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
OTC0039
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106519
—
AZ
Enumeration date
02/10/2006
Last updated
01/12/2026
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