WHEELING RENAL CARE LLC (NPI# 1295730703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295730703 |
| Entity Type | Organization |
| Organization Name | WHEELING RENAL CARE LLC |
| Other Organization Name | WHEELING DIALYSIS CENTER |
| Practice Address |
500 Medical Park Ste 100 Wheeling WV 26003-7600 |
| Practice Telephone | 3042427770 |
| Practice Fax Number | 3042433216 |
| Mailing Telephone | 3042427770 |
| Mailing Fax Number | 3042433216 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBRA LUCKI (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 3042427770 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 00700489353 | 05 | |
| OH | 2028504 | 05 |
| Other Name | Type Code |
|---|---|
| Wheeling Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519369 | Wheeling Renal Care LLC | Clinic/Center | 1 Benjamin Dr, New Martinsville, WV 26155 | 2005-06-22 |
| 1285630590 | Wheeling Renal Care LLC | Clinic/Center | 68639 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2005-06-22 |
| Street Address |
500 MEDICAL PARK STE 100 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417484452 | Total Renal Care Inc | Clinic/Center | 500 Medical Park, Ste 100, Wheeling, WV 26003-7600 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417484452 | Total Renal Care Inc | Clinic/Center | 500 Medical Park, Ste 100, Wheeling, WV 26003-7600 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064471 | Weirton Dialysis Center LLC | Clinic/Center | 100 Colliers Way Ste 1, Weirton, WV 26062-4000 | 2018-05-29 |
| 1265958292 | Fresenius Medical Care Hamlin, LLC | Clinic/Center | 12 Lincoln Plz, Branchland, WV 25506-9773 | 2017-08-22 |
| 1396272332 | Total Renal Care Inc | Clinic/Center | 1 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2017-05-22 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1629517743 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 4 Northridge Dr Ste 116, Buckhannon, WV 26201-8484 | 2017-02-22 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1689049124 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 927 Foxcroft Ave, Martinsburg, WV 25401-1840 | 2015-12-09 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.