Dva Renal Healthcare INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Bloomfield, CT. Organization (NPI-2).
NPI number1477528271
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1477528271
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Renal Healthcare INC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2006
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 0275 | CT | Yes |
Other names
- Bloomfield Dialysis (Doing Business As)
Practice location
29 Griffin Rd SBloomfield, CT 06002-1351
Phone 860-243-5389 · Fax 860-243-8150
Mailing address
5200 Virginia WayAtt: L&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp Licensure & Certification
6153416641
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