NPIMap

Organization Active NPI

Greenbrier VMC, LLC

Doing business as Greenbrier Valley Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ronceverte, WV
National Provider Identifier
1447581434
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
55 Issued in WV
Legal business name
GREENBRIER VMC, LLC
Doing business as
Greenbrier Valley Medical Center
Practice address
202 Maplewood Ave
Ronceverte, WV 24970-1334
Phone
(304) 347-4411
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENBRIER VMC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Holtsford
Title
Director
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 55 WV Primary

Addresses

Primary practice location

202 Maplewood Ave
Ronceverte, WV 24970-1334

Mailing address

13662 Collection Center Dr
Chicago, IL 60693-0136
Phone (304) 347-4411

Other names 1

  • Greenbrier Valley Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenbrier VMC LLC5 organizations share this tax ID, including this one
Part of
Greenbrier VMC LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

169 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 793-2574

203 Dawkins Dr
#A
Lewisburg, WV 24901
Phone (304) 793-2532

231 Dawkins Dr
#C
Lewisburg, WV 24901
Phone (304) 793-2532

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1447581434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13662 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930136",
            "telephone_number": "304-347-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701334",
            "telephone_number": "304-347-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER VMC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENBRIER VMC, LLC",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WV",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrier Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.