RENAL TREATMENT CENTERS - MID-ATLANTIC INC (NPI# 1417599168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417599168 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - MID-ATLANTIC INC |
| Other Organization Name | RUTHERFORD DIALYSIS |
| Practice Address |
8000c Derry St Harrisburg PA 17111-5200 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7175909599 |
| Practice Fax Number | 7177901577 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 3105362400 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hummelstown Dialysis | Doing Business As Name - Organization |
| Rutherford Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449784 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 19980 Highland Vista Dr Ste 100, Ashburn, VA 20147-4189 | 2018-09-04 |
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1902314719 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 420 Napoleon Pl, Johnstown, PA 15901-2502 | 2018-01-15 |
| 1821058652 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 4451 Parliament Pl, Ste R, Lanham, MD 20706-1872 | 2006-03-24 |
| 1922547470 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 4044 Route 130, Ste 100, Irwin, PA 15642-7808 | 2017-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | RENAL TREATMENT CENTERS - MID-ATLANTIC INC. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | RENAL TREATMENT CENTERS - MID-ATLANTIC INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
8000C DERRY ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| 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 |
|---|---|---|---|---|
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1740690064 | Fenton Dialysis LLC | Clinic/Center | 303 S Commercial St Ste 15, Harrisburg, IL 62946-2125 | 2014-05-08 |
| 1629330469 | Cedar Dialysis LLC | Clinic/Center | 479 Port View Dr, Ste B21, Harrisburg, PA 17111-1229 | 2012-06-07 |
| 1063516839 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1300 Linglestown Rd, Harrisburg, PA 17110-2838 | 2006-09-12 |
| 1952405821 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 4343 Union Deposit Rd, Union Court, Harrisburg, PA 17111-2907 | 2006-09-12 |
| 1801901640 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 275 Small St, Harrisburg, IL 62946-3352 | 2006-08-20 |
| 1174131783 | Serenity Blue LLC | Clinic/Center | 2232 Chatham Way, Harrisburg, PA 17110-3959 | 2020-07-20 |
| 1609136019 | Axolotl, LLC | Clinic/Center | 130 E Clark St, Harrisburg, IL 62946-2700 | 2012-05-18 |
| 1841394624 | Renal Care Group East, Inc. | Clinic/Center | 2601 N 3rd St, Harrisburg, PA 17110-2046 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 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 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1588214498 | Dialysis Care Center Lebanon LLC | Clinic/Center | 550 Isabel Dr Ste 1, Lebanon, PA 17042-7205 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
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.