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RENAL TREATMENT CENTERS MID ATLANTIC INC NPI 1669842407


NPI Information

NPI: 1669842407
Provider Name: RENAL TREATMENT CENTERS MID ATLANTIC INC

Doing Business As: LEIGH DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
420 N CENTER DR
BLDG 11-STE 128
NORFOLK, VA
ZIP 23502
Phone: (757) 455-0060
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RENAL TREATMENT CENTERS MID ATLANTIC INC is an end-stage renal disease (esrd) treatment clinic center in Norfolk, VA. RENAL TREATMENT CENTERS MID ATLANTIC INC NPI is 1669842407. The provider is registered as an organization entity type.
The provider Is Doing Business As Leigh Dialysis Center.

The provider's business location address is:

420 N CENTER DR
BLDG 11-STE 128
NORFOLK, VA
ZIP 23502-019
Phone: (757) 455-0060
Fax: (757) 455-0065

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer, Treasurer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 5/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669842407MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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