OrganizationActive
Dva Renal Healthcare, Inc
NPI 1962464388 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fremont, NE
Provider details
- NPI number
- 1962464388
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
- License
- ESRD004 (NE)
Practice location
1949 E 23rd Ave S
Fremont, NE 68025-2452
Phone: (402) 721-7005
Fax: (402) 721-7480
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.