Active NPI
Laner Dialysis Supply Co., LLC
- Dialysis Equipment & Supplies (DME)
- Hurricane, WV
National Provider Identifier
1679568786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- License
- 0353710-001
- Legal business name
- LANER DIALYSIS SUPPLY CO., LLC
- Practice address
- 153 Church Camp Rd
Hurricane, WV 25526-9261 - Phone
- (304) 720-5050
- Fax
- (304) 720-5050
- NPI assigned
- Sep 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Felicitas C. Espiritu
- Title
- Member
- Phone
- (304) 720-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | 0353710-001 | WV | Primary |
Addresses
Primary practice location
153 Church Camp Rd
Hurricane, WV 25526-9261
Mailing address
24 Maccorkle Ave SW
Suite 200
South Charleston, WV 25303-1476
Phone (304) 720-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6203010000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
24 Maccorkle Ave SW
Ste 200
South Charleston, WV 25303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679568786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MACCORKLE AVE SW",
"address_2": "SUITE 200",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031476",
"telephone_number": "304-720-5050",
"fax_number": "304-720-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CHURCH CAMP RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269261",
"telephone_number": "304-720-5050",
"fax_number": "304-720-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANER DIALYSIS SUPPLY CO., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ESPIRITU",
"authorized_official_first_name": "FELICITAS",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "304-720-5050",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "WV",
"license": "0353710-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6203010000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.