Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Grant Park 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
5000 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-5506
(202) 399-7700
(202) 399-3708
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, 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
—
034379100
—
DC
05
—
401139200
—
MD
05
—
8080909
—
NJ
Enumeration date
02/27/2006
Last updated
03/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us