Organization
MASON DIXON DIALYSIS FACILITIES INC
Active
Other names
Baltimore County Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3689 OFFUTT RD, STE A, RANDALLSTOWN, MD 21133-3515
(410) 922-2475
(410) 922-1506
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047700100
—
MD
05
—
2102546
—
NC
Enumeration date
03/23/2006
Last updated
03/08/2023
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