OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1568424711 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Roseburg, OR
Provider details
- NPI number
- 1568424711
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
- License
- 170049 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2410 Nw Edenbower Blvd
Ste 178
Roseburg, OR 97471-8830
Phone: (541) 672-4608
Fax: (541) 672-4817
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Roseburg Mercy Dialysis
- Doing business as
- Roseburg Mercy Dialysis
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.