Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1639695984

DVA Healthcare Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Goldsboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
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

209 Nc Highway 111 S
Goldsboro, NC 27534-9253
Phone: (919) 778-5766
Fax: (919) 751-7672
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 (NC)

Record details

NPI number1639695984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Coastal Plains
NPI enumeratedAugust 18, 2017
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address5200 Virginia Way, L & C Department, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Goldsboro