Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

DVA Healthcare Southwest Ohio LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1720042096

DVA Healthcare Southwest Ohio LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfield, Ohio. Medicare rates this dialysis facility 3 out of 5. Licensed in Ohio.

CMS rating
3 of 5
Licensed in
OH
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 362602)

Practice location Address checks out

1210 Hicks Blvd
Fairfield, OH 45014-1921
Phone: (513) 939-1110
Fax: (513) 939-1202
Show map & directions

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 · Licence 0491DC (OH)

Record details

NPI number1720042096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Fairfield Dialysis; Fairfield Dialysis
NPI enumeratedApril 13, 2006
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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