Beech Fork Dialysis

LBN: Ravine Dialysis Llc
Beech Fork Dialysis is an health care organization with primary practice located at 600 Mcginnis Dr , Wayne WV 25570. 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. Ravine Dialysis Llc can be contacted via phone (304) 272-3703, or through Hilger, James K via phone (253) 733-4500.

Contact Information

Primary practice address
600 Mcginnis Dr Wayne WV 25570
Phone: (304) 272-3703
Fax: (304) 272-3476
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 733-4500

Health care specialties

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

Profile Details

NPI number 1215389747
LBN Legal business name Ravine Dialysis Llc
DBA Doing business as Beech Fork Dialysis
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2016
Last updated Aug 16th, 2018 - about 8 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 1215389747 NPPES
West Virginia MEDICAID 1215389747

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