RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI 1780147207

NPI Information

NPI: 1780147207
Provider Name: RENAL TREATMENT CENTERS MID ATLANTIC INC.

Doing Business As: KENLY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
9266 US HIGHWAY 301 S
KENLY, NC
ZIP 27542
Phone: (919) 284-1714
Get Directions

RENAL TREATMENT CENTERS MID ATLANTIC INC. is an end-stage renal disease (esrd) treatment clinic center in Kenly, NC. RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI is 1780147207. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenly Dialysis.

The provider's business location address is:

9266 US HIGHWAY 301 S
KENLY, NC
ZIP 27542-473
Phone: (919) 284-1714
Fax: (919) 284-0813

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 34D2167350 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2019 and was last updated on 11/6/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1780147207	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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