BELMONT DIALYSIS LLC NPI 1215485883

NPI Information

  • NPI: 1215485883
  • Provider Name: BELMONT DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: GLENVAR DIALYSIS
  • CLIA Number: 49D2123354
  • Address: 3737 W MAIN ST STE 103
    SALEM, VA
    ZIP 24153
  • Phone: (540) 380-3130

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NPI Details

BELMONT DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Salem, VA. BELMONT DIALYSIS LLC NPI is 1215485883. The provider is registered as an organization entity type.
The provider Is Doing Business As Glenvar Dialysis.

The provider's business location address is:

3737 W MAIN ST STE 103
SALEM, VA
ZIP 24153-073
Phone: (540) 380-3130
Fax: (540) 380-3784

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 49D2123354 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 9/24/2020.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
11215485883MEDICAIDVIRGINIA

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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