RENAL TREATMENT CENTERS MID ATLANTIC INC NPI 1548830144

NPI Information

NPI: 1548830144
Provider Name: RENAL TREATMENT CENTERS MID ATLANTIC INC

Doing Business As: BELLEMEADE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3240 S COBB DR SE STE 800
SMYRNA, GA
ZIP 30080
Phone: (470) 750-0587
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RENAL TREATMENT CENTERS MID ATLANTIC INC is an end-stage renal disease (esrd) treatment clinic center in Smyrna, GA. RENAL TREATMENT CENTERS MID ATLANTIC INC NPI is 1548830144. The provider is registered as an organization entity type.
The provider Is Doing Business As Bellemeade Dialysis.

The provider's business location address is:

3240 S COBB DR SE STE 800
SMYRNA, GA
ZIP 30080-112
Phone: (470) 750-0587
Fax: (470) 750-0609

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 11D2229531 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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