Organization
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS LLC
Active
Parent organization
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC
Other names
North Central Pennsylvania Dialysis Clinics - Grampian
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC
Authorized official
CHESTER A. AMEDIA JR. MD (MANAGING PARTNER)
(330) 781-6212
Entity
Organization
Contact information
Practice address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(330) 781-6212
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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