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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
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