BELMONT DIALYSIS @ CRESTVIEW
NPI 1285630590
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Clairsville, OH

Active since June 22, 2005CLIA 36D0982984 · Waiver
68639 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950(740) 699-0220(740) 699-0703 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Belmont Dialysis @ Crestview NPPES

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

BELMONT DIALYSIS @ CRESTVIEW (NPI 1285630590) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Clairsville, Ohio and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Debra Lucki, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1285630590
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWHEELING RENAL CARE LLC
Location Address68639 BANNOCK RDSaint Clairsville, OH 43950-9736
Mailing Address500 Medical Park, Ste 100Wheeling, WV 26003-7600 · (304) 242-7770 · Fax (304) 243-3216
Fax(740) 699-0703
Organization SubpartNo
Authorized OfficialDebra LuckiAssistant Administrator · (304) 242-7770
Enumeration DateJune 22, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1285630590 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
License Licensed in OH · 0579DC
68639 BANNOCK RD, Saint Clairsville, OH 43950

Other Names 1

Doing Business AsBelmont Dialysis @ Crestview

Other Identifiers 2

Medicaid0401005000WV
Medicaid0459374OH

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 36D0982984

Belmont Dialysis · St Clairsville, OH
Active · expires Feb 11, 2027
CLIA Number36D0982984
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorJessica Lucas
Laboratory Phone(740) 699-0220
Laboratory LocationBelmont Dialysis68639 Bannock Road, St Clairsville, OH 43950
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
68639 BANNOCK RD
SAINT CLAIRSVILLE, OH 43950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285630590, enumerated as an "organization" on June 22, 2005.

The provider is located at 68639 BANNOCK RD SAINT CLAIRSVILLE, OH 43950 and the phone number is (740) 699-0220.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.