NEW MARTINSVILLE DIALYSIS FACILITY – NPI #1073519369
Clinic/Center

NEW MARTINSVILLE DIALYSIS FACILITY is an AHC clinic located in NEW MARTINSVILLE, WV. NPPES has assigned the NPI number 1073519369 to NEW MARTINSVILLE DIALYSIS FACILITY on June 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEW MARTINSVILLE DIALYSIS FACILITY” is a dba name, the actual legal business name for this organization is WHEELING RENAL CARE LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW MARTINSVILLE DIALYSIS FACILITY below.

NPI Profile for
WHEELING RENAL CARE LLC

NPI Number
1073519369
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WHEELING RENAL CARE LLC
Doing Business As (dba): NEW MARTINSVILLE DIALYSIS FACILITY
Primary location
1 BENJAMIN DR
NEW MARTINSVILLE, WV 26155
Phone: (304) 455-2700 Fax: (304) 455-4151
Mailing address
500 MEDICAL PARK
STE 100
WHEELING, WV 26003-7600
Phone: (304) 242-7770 Fax: (304) 243-3216
Organization Subpart
No
Authorized Official
DEBRA LUCKI
ASSISTANT ADMINISTRATOR
Phone: (304) 242-7770
Updated
Identifiers

Identifiers for NEW MARTINSVILLE DIALYSIS FACILITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2117659
MEDICAIDWV0122604000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.