RENAL CARE GROUP EAST INC. NPI 1205930088

NPI Information

  • NPI: 1205930088
  • Provider Name: RENAL CARE GROUP EAST, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: DIALYSIS CENTER OF BRYN MAWR
  • CLIA Number: 39D1006809
  • Address: 780 W LANCASTER AVE
    BRYN MAWR, PA
    ZIP 19010
  • Phone: (610) 525-1793

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NPI Details

RENAL CARE GROUP EAST, INC. is an end-stage renal disease (esrd) treatment clinic center in Bryn Mawr, PA. RENAL CARE GROUP EAST, INC. NPI is 1205930088. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Center Of Bryn Mawr.

The provider's business location address is:

780 W LANCASTER AVE
BRYN MAWR, PA
ZIP 19010-400
Phone: (610) 525-1793
Fax: (610) 525-1794

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 39D1006809 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/24/2023.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

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This page was last updated on: 3/30/2025

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