RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1184143356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184143356 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS MID ATLANTIC INC |
| Other Organization Name | GLEN RAVEN DIALYSIS |
| Practice Address |
2210 W Webb Ave Burlington NC 27217-1068 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 3365389820 |
| Practice Fax Number | 3365389826 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | JAMES H HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1184143356 | 05 |
| Other Name | Type Code |
|---|---|
| Glen Raven Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1912567330 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 501 Walnut Way, Palmetto, GA 30268-1800 | 2019-06-18 |
| 1982183224 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 251 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1313 | 2018-08-08 |
| 1306338306 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 626 W Main St, Murfreesboro, NC 27855-1510 | 2018-06-05 |
| 1306362660 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4110 Austell Powder Springs Rd Ste 100, Powder Springs, GA 30127-2954 | 2017-08-18 |
| 1437684503 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 96 June Dr, Roaring Spring, PA 16673-2316 | 2017-04-26 |
| 1700055399 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2201 Colonial Ave, Norfolk, VA 23517-1928 | 2008-02-27 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| 1831223114 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 14664 Gap Way, Gainesville, VA 20155-1683 | 2007-03-16 |
| Street Address |
2210 W WEBB AVE |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932595584 | Total Renal Care Inc | Clinic/Center | 145 Cascade Pl Ste 100, Burlington, WA 98233-3156 | 2015-04-10 |
| 1134407067 | Total Renal Care Inc | Clinic/Center | 2019 N Church St, Burlington, NC 27217-2928 | 2011-07-26 |
| 1104938935 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3325 Garden Rd, Burlington, NC 27215-9790 | 2006-08-31 |
| 1013932839 | Renal Treatment Centers West Inc | Clinic/Center | 334 South 13th Street, Burlington, CO 80807-2414 | 2006-07-13 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| 1811956246 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 31 Mall Rd, Suite 1b, Burlington, MA 01803-4138 | 2006-03-23 |
| 1689633224 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 873 Heather Rd, Burlington, NC 27215-6288 | 2006-03-22 |
| 1518392588 | Fresenius Medical Care Burlington LLC | Clinic/Center | 115 Sunset Rd, Burlington, NJ 08016-4153 | 2013-09-10 |
| 1508808353 | University of Vermont Medical Center Inc | Clinic/Center | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1730793571 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 | 2020-08-31 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| 1972139640 | Fresenius Medical Care Holly Springs, LLC | Clinic/Center | 5045 Old Raleigh Rd, Cary, NC 27511-6479 | 2020-03-13 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1699318162 | Total Renal Care of North Carolina, LLC | Clinic/Center | 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 | 2019-10-28 |
| 1497398416 | Total Renal Care of North Carolina, LLC | Clinic/Center | 2621 Hendersonville Rd, Arden, NC 28704-9226 | 2019-10-22 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1962063156 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 565 Regency Blvd, Winterville, NC 28590-5503 | 2019-06-27 |
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS MID ATLANTIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.