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Ravine Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wayne, West Virginia
NPI 1215389747

Ravine Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, WV and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ravine Dialysis Llc practices in Wayne, WV. The NPI Number for Ravine Dialysis Llc is 1215389747 and holds a License No. (West Virginia).

The current practice location address for Ravine Dialysis Llc is 600 Mcginnis Dr, Wayne, WV and can be reached out via phone at 304-272-3703 and via fax at 304-272-3476.

Location: 600 Mcginnis Dr, Wayne, WV, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215389747
Provider Name
Ravine Dialysis Llc
Credential
Provider Entity Type
Organization
Address
600 Mcginnis Dr, Wayne, WV, 37027-7569
Phone Number
304-272-3703
Fax Number
304-272-3476
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215389747 05 WV
institution
Provider Business Practice Location Address Details
Address
600 Mcginnis Dr
City
Wayne
State
West Virginia
Zip
25570
Phone Number
304-272-3703
Fax Number
304-272-3476
person
Provider Business Mailing Address Details
Address
600 Mcginnis Dr
City
Wayne
State
West Virginia
Zip
25570
Phone Number
304-272-3703
Fax Number
304-272-3476
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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