GENTLE DIALYSIS CENTER LLC NPI 1538436753

NPI Information

NPI: 1538436753
Provider Name: GENTLE DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
166 THOMPSON DR
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-5668
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GENTLE DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Bridgeport, WV. GENTLE DIALYSIS CENTER LLC NPI is 1538436753. The provider is registered as an organization entity type.

The provider's business location address is:

166 THOMPSON DR
BRIDGEPORT, WV
ZIP 26330-644
Phone: (304) 842-5668

The provider's authorized official is Nabil Guirguis .
The authorized official title is Member and has the following contact phone number (304) 842-5668.

The enumeration date for this NPI number is 11/17/2011 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	261QE0700X	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	512526	MEDICARE OSCAR/CERTIFICATION	WEST VIRGINIA
2	3810000048	MEDICAID	WEST VIRGINIA
3	4124162	OTHER	WEST VIRGINIA	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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