Organization
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC
Active
Other names
Williamsport Dialysis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER A. AMEDIA MD (CEO)
(330) 781-6212
Entity
Organization
Contact information
Practice address
1660 SYCAMORE RD, MONTOURSVILLE, PA 17754-9314
(570) 329-3300
(570) 329-1069
Mailing address
1660 SYCAMORE RD, MONTOURSVILLE, PA 17754-9314
(570) 329-3300
(570) 329-1069
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837223
—
PA
Enumeration date
06/15/2005
Last updated
08/22/2020
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