DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC
NPI 1962344234
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Florissant, MO
About Dva Washington University Healthcare Of Greater St Louis Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC (NPI 1962344234), doing business as Black Jack Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Florissant, Missouri and active in the NPI registry since April 2026. The organization lists Sam T Wey, Vp, Licensure And Certification, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORISSANT, MO 63033
FLORISSANT, MO 63033
FLORISSANT, MO 63033
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 Washington University Healthcare Of Greater St Louis LLC's NPI number?
The NPI number for DVA Washington University Healthcare Of Greater St Louis LLC is 1962344234. It was assigned to this organization in the NPPES registry on April 7, 2026. The provider is doing business as Black Jack Dialysis.
Where is DVA Washington University Healthcare Of Greater St Louis LLC located?
DVA Washington University Healthcare Of Greater St Louis LLC is located at 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033. The listed phone number is (314) 859-1234.
What is DVA Washington University Healthcare Of Greater St Louis LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
What insurance does DVA Washington University Healthcare Of Greater St Louis LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield list DVA Washington University Healthcare Of Greater St Louis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for DVA Washington University Healthcare Of Greater St Louis LLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Dva Washington University Healthcare Of Greater St Louis Llc · NPI 1962344234
End-Stage Renal Disease (ESRD) Treatment organization in Florissant, Missouri. Organization record, active in the CMS NPPES registry since April 7, 2026.
## Identity
- **NPI:** 1962344234 (Entity type: Organization)
- **Enumerated:** April 7, 2026
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Also known as:** Black Jack Dialysis (Doing Business As)
- **Organization subpart:** Yes (part of Davita Inc)
- **Authorized official:** Sam Wey, VP, LICENSURE AND CERTIFICATION
## Practice location
- **Address:** 272 MAYFAIR PLAZA SHOPPING CTR, Florissant, MO 63033-8009
- **Phone:** (314) 859-1234
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962344234) · Data from the CMS NPPES public registry.