Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC INC
Active
Other names
Penn Trafford Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFC & TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4044 ROUTE 130, STE 100, IRWIN, PA 15642-7808
(724) 744-0713
(724) 744-5004
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
1034446020002
—
PA
Enumeration date
02/16/2017
Last updated
05/03/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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