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RENAL TREATMENT CENTERS - MID-ATLANTIC INC NPI 1821058330


NPI Information

NPI: 1821058330
Provider Name: RENAL TREATMENT CENTERS - MID-ATLANTIC INC

Doing Business As: EASTON DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 21D0662592

Address:
500 CADMUS LN STE 201
EASTON, MD
ZIP 21601
Phone: (410) 822-8659
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RENAL TREATMENT CENTERS - MID-ATLANTIC INC is an end-stage renal disease (esrd) treatment clinic center in Easton, MD. RENAL TREATMENT CENTERS - MID-ATLANTIC INC NPI is 1821058330. The provider is registered as an organization entity type.
The provider Is Doing Business As Easton Dialysis Center.

The provider's business location address is:

500 CADMUS LN STE 201
EASTON, MD
ZIP 21601-094
Phone: (410) 822-8659
Fax: (410) 822-5138

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 21D0662592 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 12/20/2023.


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) TreatmentE2512MARYLANDYes

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
1911400900MEDICAIDMARYLAND
2E2512OTHERMARYLANDSTATE LICENSE

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

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