Greater Charleston Dialysis, Pllc
LBN: Greater Charleston Dialysis, Pllc
Greater Charleston Dialysis, Pllc is an health care organization with primary practice located at 24 Maccorkle Ave Sw , South Charleston WV 25303-1476. 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.
Greater Charleston Dialysis, Pllc can be contacted via phone (304) 720-2222, or through Espiritu, Julian L. via phone (304) 720-2222.
Contact Information
Primary practice address
24 Maccorkle Ave Sw
South Charleston WV 25303-1476
Phone: (304) 720-2222
Fax: (304) 720-2322
Website:
Authorized official contact:
Name: Espiritu, Julian L. Doctor of Medicine (MD)
Phone: (304) 720-2222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 43517 | West Virginia |
Profile Details
| NPI number | 1679568778 |
|---|---|
| LBN Legal business name | Greater Charleston Dialysis, Pllc |
| DBA Doing business as | |
| Authorized official | Espiritu, Julian L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679568778 | NPPES |
| West Virginia | MEDICAID | 0071269-001 |
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