DVA Healthcare Renal Care, Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1013986389

DVA Healthcare Renal Care, Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairview Heights, Illinois. Registered with an NPI since 2006.

In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

821 Lincoln Hwy
Fairview Heights, IL 62208-2216
Phone: (618) 632-9550
Fax: (618) 632-8903

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1013986389
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Thomas Usilton — Group Vice President · (770) 541-7922
Other names	Fairview Heights Dialysis
NPI enumerated	March 17, 2006
Last updated in NPPES	August 22, 2020
Mailing address	5200 Virginia Way, Ste 400 L&C, Brentwood, TN 37027-7569