EDGEFIELD DIALYSIS
NPI 1093777112
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Edgefield, SC

Active since April 04, 2006
700 AUGUSTA RD, EDGEFIELD, SC 29824(803) 637-2257(803) 637-3430 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgefield Dialysis NPPES

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

EDGEFIELD DIALYSIS (NPI 1093777112) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Edgefield, South Carolina and active in the NPI registry since April 2006. The organization lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1093777112
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address700 AUGUSTA RDEdgefield, SC 29824-1510
Mailing Address5200 Virginia Way, Ste. 400 L&cBrentwood, TN 37027-7569 · (615) 320-4218 · Fax (303) 209-7825
Fax(803) 637-3430
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1093777112 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
License Licensed in SC · ERD060
700 AUGUSTA RD, Edgefield, SC 29824

Other Names 1

Doing Business AsEdgefield Dialysis

Other Identifiers 2

Medicaid425589SC
Medicare OSCAR/certification422558SC

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 1093777112. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Edgefield Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 700 Augusta Rd, Edgefield, SC 29824. The listed phone number is (803) 637-2257.

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 July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.