WHEELING RENAL CARE LLC NPI 1295730703

NPI Information

WHEELING RENAL CARE LLC is an end-stage renal disease (esrd) treatment clinic center in Wheeling, WV. WHEELING RENAL CARE LLC NPI is 1295730703. The provider is registered as an organization entity type.
The provider Is Doing Business As Wheeling Dialysis Center.

The provider's business location address is:

500 MEDICAL PARK
STE 100
WHEELING, WV
ZIP 26003-600
Phone: (304) 242-7770
Fax: (304) 243-3216

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 CLIA number assigned to this NPI record is 51D0941936 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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