Dva Healthcare Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Saint Peters, MO. Organization (NPI-2).
NPI number1790746246
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1790746246
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Healthcare Renal Care INC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- St Peters Dialysis (Doing Business As)
Practice location
300 First Executive AveSte A
Saint Peters, MO 63376-1655
Phone 636-441-6070 · Fax 636-441-6367
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Vp Licensure & Certification
6153416641
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Saint Peters, MO
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.