NEW MARTINSVILLE DIALYSIS FACILITY
NPI 1073519369
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in New Martinsville, WV

Active since June 22, 2005CLIA 51D0991207 · Waiver
1 BENJAMIN DR, NEW MARTINSVILLE, WV 26155(304) 455-2700(304) 455-4151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Martinsville Dialysis Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW MARTINSVILLE DIALYSIS FACILITY (NPI 1073519369) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in New Martinsville, West Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Debra Lucki, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1073519369
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWHEELING RENAL CARE LLC
Location Address1 BENJAMIN DRNew Martinsville, WV 26155
Mailing Address500 Medical Park, Ste 100Wheeling, WV 26003-7600 · (304) 242-7770 · Fax (304) 243-3216
Fax(304) 455-4151
Organization SubpartNo
Authorized OfficialDebra LuckiAssistant Administrator · (304) 242-7770
Enumeration DateJune 22, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1073519369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1 BENJAMIN DR, New Martinsville, WV 26155

Other Names 1

Doing Business AsNew Martinsville Dialysis Facility

Other Identifiers 2

Medicaid2117659OH
Medicaid0122604000WV

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0991207

New Martinsville Dialysis · New Martinsville, WV
Active · expires Sep 13, 2027
CLIA Number51D0991207
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDr. Jessica G. Lucas
Laboratory Phone(681) 699-7008
Laboratory LocationNew Martinsville DialysisN261 West Virginia State Route 2, Suites 14 & 15, New Martinsville, WV 26155
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wheeling Renal Care LLC's NPI number?

The NPI number for Wheeling Renal Care LLC is 1073519369. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as New Martinsville Dialysis Facility.

Where is Wheeling Renal Care LLC located?

Wheeling Renal Care LLC is located at 1 Benjamin Dr, New Martinsville, WV 26155. The listed phone number is (304) 455-2700.

What is Wheeling Renal Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Wheeling Renal Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0991207) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wheeling Renal Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.