DVA Renal Healthcare Inc
DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jacksonville, Illinois. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2006.
- CMS rating
- 2 of 5
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
1515 W Walnut StJacksonville, IL 62650-1150
Phone: (217) 243-3042
Fax: (217) 243-1365
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1316916513 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp, Licensure & Certification · (615) 341-6641 |
| Other names | Jacksonville Dialysis; Jacksonville Dialysis |
| NPI enumerated | March 17, 2006 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
| Mailing address | 5200 Virginia Way, L&C Department, Brentwood, TN 37027-7569 |