LICKING COUNTY DIALYSIS
NPI 1164486437
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newark, OH

Q: What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1164486437. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Licking County Dialysis.

Q: What is DVA Renal Healthcare 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.

Active since April 13, 2006

65 MCMILLEN DR, BLDG 300, NEWARK, OH 43055(740) 344-1355(740) 344-4174 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Licking County Dialysis NPPES

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

LICKING COUNTY DIALYSIS (NPI 1164486437) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newark, Ohio 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

NPI1164486437

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA RENAL HEALTHCARE INC

Location Address65 MCMILLEN DR, BLDG 300Newark, OH 43055-3648

Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821

Phone(740) 344-1355

Fax(740) 344-4174

Organization SubpartNo

Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922

Enumeration DateApril 13, 2006

Last NPPES UpdateAugust 15, 2007

✔ NPI 1164486437 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 OH · 0264DC

65 MCMILLEN DR, Newark, OH 43055

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Other Names 1

Doing Business AsLicking County Dialysis

Other Identifiers 2

Medicaid2220224OH

Medicare OSCAR/certification362555

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLINT RIDGE VILLAGE LLC

In Home Supportive Care

65 MCMILLEN DR
NEWARK, OH 43055

Licking County (740) 344-0388

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 Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1164486437. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Licking County Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 65 Mcmillen Dr Bldg 300, Newark, OH 43055. The listed phone number is (740) 344-1355.

What is DVA Renal Healthcare 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 Renal Healthcare Inc was last updated on August 15, 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.