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DAVITA OF GREENBRIER NPI 1003001215

NPI Profile

NPI: 1003001215
Provider Name: DAVITA OF GREENBRIER

Former Legal Business Name: GAMBRO HEALTHCARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
129 SENECA TRL
LEWISBURG, WV
ZIP 24901
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Phone: (304) 645-4806

DAVITA OF GREENBRIER is a healthcare provider in Lewisburg, WV.The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. DAVITA OF GREENBRIER NPI is 1003001215. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gambro Healthcare.

The provider's business location address is:

129 SENECA TRL
LEWISBURG, WV
ZIP 24901-564
Phone: (304) 645-4806
Fax: (304) 647-3941

The provider's authorized official is Marilyn Kelley .
The authorized official title is Facility Administrator and has the following contact phone number (304) 645-4806.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 9/11/2007.

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
1251J00000XNursing Care030330WEST VIRGINIAYes

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
10005742000MEDICAIDWEST VIRGINIA

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: 9/8/2019

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