DVA Washington University Healthcare of Greater St Louis LLC
DVA Washington University Healthcare of Greater St Louis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florissant, Missouri. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
272 Mayfair Plaza Shopping CtrFlorissant, MO 63033-8009
Phone: (314) 859-1234
Show map & directions
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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 | 1962344234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Davita Inc |
| Authorized official | Sam Wey — Vp, Licensure And Certification · (615) 341-6691 |
| Other names | Black Jack Dialysis |
| NPI enumerated | April 7, 2026 |
| Last updated in NPPES | June 22, 2026 |
| Certification date | June 22, 2026 |
| Mailing address | 5200 Virginia Way, Licensure And Certification Dept, Brentwood, TN 37027-7569 |
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