WHEELING RENAL CARE LLC NPI 1073519369

NPI Information

NPI: 1073519369
Provider Name: WHEELING RENAL CARE LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: NEW MARTINSVILLE DIALYSIS FACILITY
Address: 1 BENJAMIN DR
NEW MARTINSVILLE, WV
ZIP 26155
Phone: (304) 455-2700

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NPI Details

WHEELING RENAL CARE LLC is an end-stage renal disease (esrd) treatment clinic center in New Martinsville, WV. WHEELING RENAL CARE LLC NPI is 1073519369. The provider is registered as an organization entity type.
The provider Is Doing Business As New Martinsville Dialysis Facility.

The provider's business location address is:

1 BENJAMIN DR
NEW MARTINSVILLE, WV
ZIP 26155
Phone: (304) 455-2700
Fax: (304) 455-4151

The provider's authorized official is Debra Lucki .
The authorized official title is Assistant Administrator and has the following contact phone number (304) 242-7770.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/22/2020.

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			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	2117659	MEDICAID	OHIO
2	0122604000	MEDICAID	WEST 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: 11/21/2025

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