RENAL TREATMENT CENTERS MID ATLANTIC INC


Address: 9952 N Main St, Bldg #3, Berlin, MD 21811-1049
Phone: 4106411321

RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1376503532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376503532
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS MID ATLANTIC INC
Other Organization Name BERLIN DIALYSIS CENTER
Practice Address 9952 N Main St
Bldg #3
Berlin
MD 21811-1049
Mailing Address 5200 Virginia Way
L& C Department
Brentwood
TN 37027-7569
Practice Telephone 4106411321
Practice Fax Number 4106411538
Mailing Telephone 6153204214
Mailing Fax Number 8669443352
Enumeration Date 2006-03-23
Last Update Date 2020-04-20
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
E2520 MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DE 0001036134 05
MD 473302900 05
VA 2125200 05

Other Provider/Organization Names

Other Name Type Code
Berlin Dialysis Center Doing Business As Name - Organization

Other Provider IDs and Locations

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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
1184143356 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 2210 W Webb Ave, Burlington, NC 27217-1068 2017-09-19
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

Office Location

Street Address 9952 N MAIN ST
BLDG #3
City BERLIN
State MD
Zip Code 21811-1049

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366912909 Kathleen Cathell Speech-Language Pathologist 11187 Racetrack Rd, Berlin, MD 21811 2018-11-27
1033613336 Kimberly Rose Richardson Registered Nurse Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 2018-03-21
1780108514 Jayme Sroka Mahoney Marriage & Family Therapist 124 N. Main St. Ste. C, Berlin, MD 21811 2017-08-02
1013332543 Ray Charles Lockamy Jr. Behavior Technician 10514 Racetrack Rd Ste G, Berlin, MD 21811 2014-02-20
1972845121 Timothy Pearson Dermatology 9948 N. Main St., Berlin, MD 21811 2013-03-25
1710248315 Jaime Farrell Coates Counselor 378 Schooner Ln, Berlin, MD 21811 2012-05-31
1902185697 Lee Ahlstrom Pharmacist 11307 Manklin Creek Rd, Berlin, MD 21811 2011-08-11
1780987677 Worcester County Health Department Public Health or Welfare 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 2010-12-15
1942511563 Corey Lee Smith Dentist 11204 Racetrack Rd Ste 102, Berlin, MD 21811 2010-06-29
1255656062 Sarah Mae Brown Pharmacist Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 2010-04-05
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578678165 Liberty Dialysis - Berlin LLC Clinic/Center 30 Tansboro Rd, Berlin, NJ 08009-1948 2006-08-21
1235513912 Total Renal Care Inc Clinic/Center 432 Oak St, Berlin, WI 54923-0000 2015-07-13
1770690711 Berlin Dialysis Center Clinic/Center 30 Tansboro Rd, Berlin, NJ 08009-1948 2006-08-24
1932143377 University of Vermont Medical Center Inc Clinic/Center 130 Fisher Rd, Berlin, VT 05602-9516 2006-06-16

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1740840503 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 2019-06-14
1538725965 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 2019-05-10
1851957286 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 2019-05-10
1144783598 Fresenius Medical Care Southern Maryland Home, LLC Clinic/Center 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 2019-04-12
1205399854 Mather Dialysis LLC Clinic/Center 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 2019-04-10
1598228249 Concerto Maryland LLC Clinic/Center 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 2019-04-10
1346709037 Dialyze Direct Md, LLC Clinic/Center 502 Mccormick Dr, Glen Burnie, MD 21061-3216 2019-03-13
1306323050 Wyota Dialysis, LLC Clinic/Center 11700 Livingston Rd, Fort Washington, MD 20744-5150 2018-07-25
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Competitor

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City BERLIN
Zip Code 21811

Improve Information

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Dataset Information

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.

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