DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Springfield, IL. DVA RENAL HEALTHCARE INC NPI is 1518926781. The provider is registered as an organization entity type.
The provider Is Doing Business As Springfield Montvale Dialysis.
The provider's business location address is:
2930 MONTVALE DR
STE A
SPRINGFIELD, IL
ZIP 62704-376
Phone: (217) 793-2781
Fax: (217) 793-2845
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 14D0963523 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/17/2006 and was last updated on 1/24/2022.