Organization
RENAL TREATMENT CENTERS MID ATLANTIC, INC.
Active
Other names
Cedar Valley Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1661 W RIDGEWAY AVE, WATERLOO, IA 50701-4541
(319) 226-6425
(319) 226-6421
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
1558807370
—
IA
Enumeration date
01/18/2017
Last updated
02/10/2026
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