OrganizationActive
Dva Renal Healthcare Inc
NPI 1720042559 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Greenfield, WI
Provider details
- NPI number
- 1720042559
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
4120 W Loomis Rd
Greenfield, WI 53221-2052
Phone: (414) 761-4920
Fax: (414) 761-4926
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.