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RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI 1396236626


NPI Information

NPI: 1396236626
Provider Name: RENAL TREATMENT CENTERS MID ATLANTIC INC.

Doing Business As: GOLDEN MILE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1306 W PATRICK ST STE 5
FREDERICK, MD
ZIP 21703
Phone: (301) 696-1090
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RENAL TREATMENT CENTERS MID ATLANTIC INC. is an end-stage renal disease (esrd) treatment clinic center in Frederick, MD. RENAL TREATMENT CENTERS MID ATLANTIC INC. NPI is 1396236626. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Mile Dialysis.

The provider's business location address is:

1306 W PATRICK ST STE 5
FREDERICK, MD
ZIP 21703-869
Phone: (301) 696-1090
Fax: (301) 696-1095

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

The enumeration date for this NPI number is 5/22/2018 and was last updated on 11/14/2022.


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) TreatmentMARYLANDYes

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
1502231200MEDICAIDMARYLAND

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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