RENAL TREATMENT CENTERS MID ATLANTIC INC


Address: 102 East Burkhalter Ave, Suite A, Buena Vista, GA 31803-1701
Phone: 2296495017

RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1689643306) 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) 1689643306
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS MID ATLANTIC INC
Other Organization Name BUENA VISTA DIALYSIS
Practice Address 102 East Burkhalter Ave
Suite A
Buena Vista
GA 31803-1701
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 2296495017
Practice Fax Number 2296496410
Mailing Telephone 6153204286
Mailing Fax Number 8665942893
Enumeration Date 2006-03-15
Last Update Date 2015-10-13
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
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
ESRD001122 GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000727394A 05

Other Provider/Organization Names

Other Name Type Code
Buena Vista Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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
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 102 EAST BURKHALTER AVE
SUITE A
City BUENA VISTA
State GA
Zip Code 31803-1701

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043425218 Yasuko Musashi Dentist 94 Mc Crary Road, Fortson, GA 31803 2007-05-11
1235659533 Sarah Elizabeth Tanner Nurse Practitioner 131 E 6th Ave, Buena Vista, GA 31803 2017-06-27
1093063778 Becky M Powell Pharmacist 128 N Broad St, Buena Vista, GA 31803 2012-08-28
1295842052 John Seaborn Rogers General Practice 333 Oliver Street, Buena Vista, GA 31803-0388 2006-08-25
1689634685 Marion County Health Department Public Health or Welfare 111a Baker Street, Buena Vista, GA 31803-0404 2006-03-24
1639138373 Rinns Pharmacy Pharmacy 101 Broad Street, Buena Vista, GA 31803-0411 2006-03-21
1164518338 William Frank Catrett General Practice 365 Geneva Rd, Buena Vista, GA 31803-1701 2006-10-05
1447297593 Buena Vista Family Clinic Clinic/Center 345 Geneva Rd, Buena Vista, GA 31803-1701 2006-05-31
1659353134 Magnolia Manor of Marion County Inc Skilled Nursing Facility 349 Geneva Rd, Buena Vista, GA 31803-1701 2005-11-18
1649520255 Becky S Drugstore LLC Pharmacy 128 N Broad St, Buena Vista, GA 31803-2006 2012-09-12
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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 state

NPI Name Taxonomy Address Enumeration
1871190207 Usrc Powder Springs Home LLC Clinic/Center 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 2020-10-08
1083229280 Bio- Medical Applications of Georgia, Inc. Clinic/Center 145 W Hendry St, Hinesville, GA 31313-3201 2020-09-14
1336759463 Plattaz Dialysis, LLC Clinic/Center 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 2020-08-04
1174140743 Home Dialysis Services Norcross LLC Clinic/Center 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 2020-06-30
1265058275 Dialysis Care Center Pleasant Hill LLC Clinic/Center 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 2020-06-25
1598389132 Concerto Georgia LLC Clinic/Center 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 2020-05-29
1629607098 Rutledge Dialysis, LLC Clinic/Center 1719 New Hope Rd, Lawrenceville, GA 30045-6570 2020-04-07
1215562293 Dialysis Clinic Inc Clinic/Center 1219 S. Martin Luther King Blvd., Americuse, GA 31719 2020-03-10
1659915882 Filmore Dialysis, LLC Clinic/Center 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 2019-10-31
1013562818 Menca Dialysis, LLC Clinic/Center 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 2019-08-08
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Competitor

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City BUENA VISTA
Zip Code 31803

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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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