Organization
BELMONT DIALYSIS LLC
Active
Other names
Glenvar Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3737 W MAIN ST STE 103, SALEM, VA 24153-2073
(540) 380-3130
(540) 380-3784
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
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
—
1215485883
—
VA
Enumeration date
09/13/2016
Last updated
09/24/2020
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