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GRAND CENTRAL DIALYSIS
NPI 1457316085
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vienna, WV

Active since April 18, 2006CLIA 51D0982317 · Waiver
3/5
Overall Rating
800 GRAND CENTRAL MALL, STE 8, VIENNA, WV 26105(304) 917-4124(304) 917-4136 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 15, 2024, Jan 28, 2022, Aug 19, 2020 and 2 more (5 updates tracked since 2018).

About Grand Central Dialysis NPPES

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

GRAND CENTRAL DIALYSIS (NPI 1457316085) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vienna, West Virginia and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1457316085
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address800 GRAND CENTRAL MALL, STE 8Vienna, WV 26105-4100
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(304) 917-4124
Fax(304) 917-4136
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 18, 2006
Last NPPES UpdateMay 15, 20245 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1457316085 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
800 GRAND CENTRAL MALL, Vienna, WV 26105
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Central Dialysis

Other Identifiers 2

Medicaid2330025OH
Medicaid0402016000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

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 51D0982317

Grand Central Dialysis · Vienna, WV
Active · expires Jan 22, 2027
CLIA Number51D0982317
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorMirza Hamirani
Laboratory Phone(304) 917-4124
Laboratory LocationGrand Central Dialysis800 Grand Central Mall Suite 8, Vienna, WV 26105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Grand Central Dialysis (CMS certification number 512519), from CMS Care Compare.

DaVita Grand Central Dialysis

Dialysis facility · Vienna, WV
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number512519
ESRD NetworkNetwork 5
Hemodialysis Stations18
Medicare-Certified SinceDecember 1, 2000
Location800 GRAND CENTRAL MALL SUITE 8Vienna, WV 26105 · Wood County
Phone(304) 917-4124
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 20

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

CATHERINE A ADKINS MD
Family Medicine
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
MID-OHIO VALLEY NEPHROLOGY ASSOCIATION
Internal Medicine (Nephrology)
800 GRAND CENTRAL MALL, SUITE 9
VIENNA, WV 26105
Wood County (304) 834-3970
DR. JOHN KEVIN KOCH MD
Surgery
800 GRAND CENTRAL MALL, SUITE 2
VIENNA, WV 26105
Wood County (304) 865-4350
GINA MARIE PRUNTY
Nurse Practitioner
800 GRAND CENTRAL MALL
VIENNA, WV 26105
Wood County (304) 485-3300
MRS. AMY LOUDEN DEHMLOW MA PSYCHOLOGIST
Counselor (Mental Health)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
PAMELA J PARKER FNP-BC
Nurse Practitioner (Family)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-4439
JANELLE MARIE KING M.D.
Dermatology
800 GRAND CENTRAL MALL, SUITE 3
VIENNA, WV 26105
Wood County (304) 865-0555
PARKERSBURG RADIOLOGY, LLC
Radiology (Diagnostic Radiology)
800 GRAND CENTRAL MALL, SUITE 7
VIENNA, WV 26105
Wood County (304) 422-3916

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1457316085. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Grand Central Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 800 Grand Central Mall Ste 8, Vienna, WV 26105. The listed phone number is (304) 917-4124.

What is DVA Renal Healthcare Inc'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 DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0982317) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Grand Central Dialysis is a Medicare-certified dialysis facility, certified since December 1, 2000.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Grand Central Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list DVA Renal Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.