Mountaineer Dialysis

LBN: Beverly Dialysis Llc
Mountaineer Dialysis is an health care organization with primary practice located at 2958 Robert C Byrd Dr , Beckley WV 25801-4448. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Beverly Dialysis Llc can be contacted via phone (304) 252-9183, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2958 Robert C Byrd Dr Beckley WV 25801-4448
Phone: (304) 252-9183
Fax: (304) 252-9194
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1972841625
LBN Legal business name Beverly Dialysis Llc
DBA Doing business as Mountaineer Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2013
Last updated Feb 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972841625 NPPES
West Virginia MEDICAID 3910007007

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