Dva Renal Healthcare Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DVA RENAL HEALTHCARE INC

Practice address

Hwy 86 Milepost 113
Sells, AZ 85634-3030

Phone

(520) 383-1701

Fax

(520) 383-3667

NPI assigned

Feb 13, 2006

Organization subpart

No

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Organizations that report the same tax identification number in the National Provider Directory.

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1003889973
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1013981679
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nogales, AZ
  • NPI 1023081999
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1417920034
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1861465684
  NPD tax ID
• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sierra Vista, AZ
  • NPI 1942274493
  NPD tax ID

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member

Medicare fee-for-service enrollment

Enrolled in AZ

Tax ID family

Gambro Healthcare Anahe (173 organizations share this tax ID)

• Sells Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1295708808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 86 MILEPOST 113",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856343030",
            "telephone_number": "520-383-1701",
            "fax_number": "520-383-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106527",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sells Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sells Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DHHS-PHS, IHS Tucson Area, IHS Tucson
• DHHS-PHS, IHS Tucson Area, IHS Tucson Area Sells Hospital
• DHHS-PHS,IHS Tucson Area, IHS Tucson
• Mariaelena Duenas, RN
• Jennifer Dumakor
• Trista Kim Eggers
• Paige Encinas
• Angela B Fallon, R.N.
• Kristen Felan, LMSW
• Sheila Flavin

• All providers in Sells, AZ
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.