OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1063474229 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Salem, OR
Provider details
- NPI number
- 1063474229
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Winstel, Chief Accounting Officer(253) 733-4501
- License
- 170050 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1220 Liberty St Ne
Salem, OR 97303-7330
Phone: (503) 315-2212
Fax: (503) 315-2199
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Salem North Dialysis
- Doing business as
- Salem North Dialysis
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2021-11-05
- Certified
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.