institution
Gentle Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bridgeport, West Virginia
NPI 1538436753

Gentle Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bridgeport, WV and is specialized in End-Stage Renal Disease (ESRD) Treatment. Gentle Dialysis Center Llc practices in Bridgeport, WV. The NPI Number for Gentle Dialysis Center Llc is 1538436753 and holds a License No. 261QE0700X (West Virginia).

The current practice location address for Gentle Dialysis Center Llc is 166 Thompson Dr, Bridgeport, WV and can be reached out via phone at 304-842-5668.

Location: 166 Thompson Dr, Bridgeport, WV, 26330-1644
institution
Provider Profile Details
NPI Number
1538436753
Provider Name
Gentle Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
166 Thompson Dr, Bridgeport, WV, 26330-1644
Phone Number
304-842-5668
Fax Number
Provider Enumeration Date
11/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4124162 01 WV MEDICARE ID-TYPE UNSPECIFIED
3810000048 05 WV
institution
Provider Business Practice Location Address Details
Address
166 Thompson Dr
City
State
Zip
26330-1644
Phone Number
304-842-5668
Fax Number
person
Provider Business Mailing Address Details
Address
166 Thompson Dr
City
State
Zip
26330-1644
Phone Number
304-842-5668
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
261QE0700X (West Virginia)
Definition
Definition to come...
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