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

DVA Washington University Healthcare of Greater St Louis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1710829098

DVA Washington University Healthcare of Greater St Louis LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Saint Louis, 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.

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Practice location Address checks out

4205 Forest Park Ave
Saint Louis, MO 63108-2810
Phone: (314) 236-2385
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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 number1710829098
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official Sam Wey — Vp, Licensure And Certification · (615) 341-6641
Other names Forest Park St. Louis Dialysis
NPI enumeratedApril 7, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026
Mailing address5200 Virginia Way, Licensure And Certification Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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