WILLISTON DIALYSIS LLC NPI 1831544972

NPI Information

  • NPI: 1831544972
  • Provider Name: WILLISTON DIALYSIS, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: OCEANA DIALYSIS
  • CLIA Number: 49D2113615
  • Address: 1375 OCEANA BLVD
    SUITE 114
    VIRGINIA BEACH, VA
    ZIP 23454
  • Phone: (757) 961-6239

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NPI Details

WILLISTON DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Virginia Beach, VA. WILLISTON DIALYSIS, LLC NPI is 1831544972. The provider is registered as an organization entity type.
The provider Is Doing Business As Oceana Dialysis.

The provider's business location address is:

1375 OCEANA BLVD
SUITE 114
VIRGINIA BEACH, VA
ZIP 23454-579
Phone: (757) 961-6239
Fax: (757) 961-6665

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure And Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 49D2113615 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 3/18/2024.

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
11831544972MEDICAIDVIRGINIA

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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