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MOUNTAINEER DIALYSIS
NPI 1972841625
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Beckley, WV

Active since January 30, 2013CLIA 51D2062939 · Waiver
3/5
Overall Rating
2958 ROBERT C BYRD DR, BECKLEY, WV 25801(304) 252-9183(304) 252-9194 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2020, Jan 20, 2020, Aug 9, 2018 (3 updates tracked since 2018).

About Mountaineer Dialysis NPPES

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

MOUNTAINEER DIALYSIS (NPI 1972841625) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Beckley, West Virginia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1972841625
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBEVERLY DIALYSIS LLC
Location Address2958 ROBERT C BYRD DRBeckley, WV 25801-4448
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 238-3051 · Fax (800) 246-8346
Phone(304) 252-9183
Fax(304) 252-9194
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 30, 2013
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1972841625 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
2958 ROBERT C BYRD DR, Beckley, WV 25801
Open in Google Maps ↗

Other Names 1

Doing Business AsMountaineer Dialysis

Other Identifiers 1

Medicaid3910007007WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, UnitedHealthcare.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 51D2062939

Mountaineer Dialysis · Beckley, WV
Active · expires Jul 23, 2027
CLIA Number51D2062939
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Divya Rajan
Laboratory Phone(304) 252-9183
Laboratory LocationMountaineer Dialysis2958 Robert C Byrd Drive, Beckley, WV 25801
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 Mountaineer Dialysis (CMS certification number 512538), from CMS Care Compare.

DaVita Mountaineer Dialysis

Dialysis facility · Beckley, WV
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number512538
ESRD NetworkNetwork 5
Hemodialysis Stations17
Medicare-Certified SinceSeptember 18, 2013
Location2958 ROBERT C BYRD DRBeckley, WV 25801 · Raleigh County
Phone(304) 252-9183
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2958 ROBERT C BYRD DR
BECKLEY, WV 25801
Raleigh County (615) 341-6311

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 Beverly Dialysis LLC's NPI number?

The NPI number for Beverly Dialysis LLC is 1972841625. It was assigned to this organization in the NPPES registry on January 30, 2013. The provider is doing business as Mountaineer Dialysis.

Where is Beverly Dialysis LLC located?

Beverly Dialysis LLC is located at 2958 Robert C Byrd Dr, Beckley, WV 25801. The listed phone number is (304) 252-9183.

What is Beverly Dialysis 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 Beverly Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2062939) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Beverly Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Mountaineer Dialysis is a Medicare-certified dialysis facility, certified since September 18, 2013.

What quality rating does Beverly Dialysis LLC have?

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

What insurance does Beverly Dialysis LLC accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Beverly Dialysis LLC 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 Beverly Dialysis LLC was last updated on February 2, 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.