Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Portsmouth Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2000 HIGH ST, PORTSMOUTH, VA 23704-3012
(757) 397-4300
(757) 397-5788
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004926200
—
VA
Enumeration date
04/14/2006
Last updated
04/15/2020
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