DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1245290782

DVA Renal Healthcare Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Effingham, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in: IL
In the registry since: 2006

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

904 Medical Park Dr Ste 1
Effingham, IL 62401-2193
Phone: (217) 342-9558
Fax: (217) 342-1049

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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 · Licence N/A (IL)

Record details

NPI number	1245290782
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names	Effingham Dialysis; Effingham Dialysis
NPI enumerated	March 27, 2006
Last updated in NPPES	October 21, 2024
Certification date	October 21, 2024
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Bashar Alzahabi, MD Emergency Medicine Physician · Effingham, IL
Chandra Kanth Chaturvedula Internal Medicine Physician · Mattoon, IL
Sravan K Jasti, MD Internal Medicine Physician · Urbana, IL