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

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: July 19, 2026.

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

What is DVA RENAL HEALTHCARE INC's NPI number?

The NPI number assigned to this healthcare provider is 1164486437, enumerated as an "organization" on April 13, 2006.

Where is the provider located?

The provider is located at 65 MCMILLEN DR BLDG 300 NEWARK, OH 43055 and the phone number is (740) 344-1355.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does DVA RENAL HEALTHCARE INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.