Organization
GREENBRIER VMC, LLC
Active
Parent organization
GREENBRIER VMC, LLC
Other names
Greenbrier Valley Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENBRIER VMC, LLC
Authorized official
LAURIE HOLTSFORD (DIRECTOR)
(615) 465-7466
Entity
Organization
Contact information
Practice address
202 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 347-4411
Mailing address
13662 COLLECTION CENTER DR, CHICAGO, IL 60693-0136
(304) 347-4411
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
55
WV
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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