Organization
WHEELING RENAL CARE LLC
Active
Other names
New Martinsville Dialysis Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LUCKI R.N. (ASSISTANT ADMINISTRATOR)
(304) 242-7770
Entity
Organization
Contact information
Practice address
1 BENJAMIN DR, NEW MARTINSVILLE, WV 26155
(304) 455-2700
(304) 455-4151
Mailing address
500 MEDICAL PARK, STE 100, WHEELING, WV 26003-7600
(304) 242-7770
(304) 243-3216
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122604000
—
WV
05
—
2117659
—
OH
Enumeration date
06/22/2005
Last updated
08/22/2020
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