Mountain Ridge Dialysis Llc

LBN: Mountain Ridge Dialysis Llc
Mountain Ridge Dialysis Llc is an health care organization with primary practice located at 229 Merchants Walk , Summersville WV 26651-1901. 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. Mountain Ridge Dialysis Llc can be contacted via phone (304) 872-9206, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
229 Merchants Walk Summersville WV 26651-1901
Phone: (304) 872-9206
Fax: (304) 872-9209
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

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

Profile Details

NPI number 1649327933
LBN Legal business name Mountain Ridge Dialysis Llc
DBA Doing business as Mountain Ridge Dialysis Llc
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2007
Last updated Oct 17th, 2023 - about 3 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 1649327933 NPPES
Other 001809907 BCBS OF FLORIDA

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