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FAIRVIEW HEIGHTS DIALYSIS
NPI 1013986389
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairview Heights, IL

Active since March 17, 2006
821 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208(618) 632-9550(618) 632-8903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairview Heights Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW HEIGHTS DIALYSIS (NPI 1013986389) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairview Heights, Illinois and active in the NPI registry since March 2006. The organization lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1013986389
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE, INC.
Location Address821 LINCOLN HWYFairview Heights, IL 62208-2216
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821
Phone(618) 632-9550
Fax(618) 632-8903
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013986389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
821 LINCOLN HWY, Fairview Heights, IL 62208
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Other Names 1

Doing Business AsFairview Heights Dialysis

Other Identifiers 1

Medicaid2300521OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Healthcare Renal Care, Inc.'s NPI number?

The NPI number for DVA Healthcare Renal Care, Inc. is 1013986389. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Fairview Heights Dialysis.

Where is DVA Healthcare Renal Care, Inc. located?

DVA Healthcare Renal Care, Inc. is located at 821 Lincoln Hwy, Fairview Heights, IL 62208. The listed phone number is (618) 632-9550.

What is DVA Healthcare Renal Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Renal Care, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.