RENAL TREATMENT CENTERS - MID-ATLANTIC INC. NPI 1417599168

NPI Information

RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. is an end-stage renal disease (esrd) treatment clinic center in Harrisburg, PA. RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. NPI is 1417599168. The provider is registered as an organization entity type.
The provider Is Doing Business As Rutherford Dialysis.

The provider's business location address is:

8000C DERRY ST
HARRISBURG, PA
ZIP 17111-200
Phone: (717) 590-9599
Fax: (717) 790-1577

The provider's authorized official is Samuel T Wey .
The authorized official title is Authorized Official and has the following contact phone number (615) 341-6691.

The CLIA number assigned to this NPI record is 39D2177892 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 2/20/2024.

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:

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