Organization
RENAL CENTER OF MOOREFIELD LLC
Active
Other names
Renal Center of Moorefield
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY AUTHORIZED OFFICIAL (SR DIRECTOR LICENSURE CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8 LEE ST, FL 2, MOOREFIELD, WV 26836-1091
(304) 530-1200
(304) 530-1212
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
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
—
3810000567
—
WV
Enumeration date
06/01/2006
Last updated
09/26/2023
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