Organization · Type 2 NPI

Beverly Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beckley, WV

NPI number 1972841625 Active

Practice location

2958 Robert C Byrd Dr
Beckley, WV 25801-4448

Call (304) 252-9183 Map

Fax (304) 252-9194

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Total Renal Care IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Beckley, WV NPI 1205179181

Other end-stage renal disease (esrd) treatment clinic/center providers in Beckley

See all in Beckley →

NPI record

NPI: 1972841625
Entity type: Organization (Type 2)
Issued: Jan 30, 2013
Last updated: Feb 2, 2024
Status: Active

Other names

<unavail>
Mountaineer Dialysis · doing business as
Mountaineer Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972841625

Beverly Dialysis LLC's National Provider Identifier is 1972841625, issued on Jan 30, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Beckley, WV. The record was last updated on Feb 2, 2024.