OrganizationActive
Dva Renal Healthcare Inc
NPI 1023081999 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Nogales, AZ
Provider details
- NPI number
- 1023081999
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp, Licensure & Certification
- License
- OTC0597 (AZ)
Practice location
1605 N Industrial Park Dr Ste H
Nogales, AZ 85621-4577
Phone: (520) 281-5779
Fax: (520) 281-5873
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.