RENAL TREATMENT CENTERS NORTHEAST INC (NPI# 1407818198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407818198 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS NORTHEAST INC |
| Other Organization Name | UPLAND DIALYSIS CENTER |
| Practice Address |
1 Medical Center Blvd Ste 120 Chester PA 19013-3902 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6104472825 |
| Practice Fax Number | 6104900945 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100729430 0032 | 05 |
| Other Name | Type Code |
|---|---|
| Upland Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104095041 | Renal Treatment Centers Northeast Inc | Clinic/Center | 1172 S Broad St, Philadelphia, PA 19146-3142 | 2008-02-25 |
| 1982634333 | Renal Treatment Centers Northeast Inc | Clinic/Center | 2121 Us Highway 22, Bound Brook, NJ 08805-1546 | 2006-07-03 |
| 1518929280 | Renal Treatment Centers Northeast Inc | Clinic/Center | 109 Dickinson St, Philadelphia, PA 19147-6107 | 2006-04-06 |
| 1295797058 | Renal Treatment Centers Northeast Inc | Clinic/Center | 518 Knorr St, Philadelphia, PA 19111-4604 | 2006-04-05 |
| 1598727372 | Renal Treatment Centers Northeast Inc | Clinic/Center | 185 Delaware Ave, Ste C, Palmerton, PA 18071-1716 | 2006-04-05 |
| 1841252889 | Renal Treatment Centers Northeast Inc | Clinic/Center | 3243 Lincoln Hwy, Thorndale, PA 19372-1012 | 2006-04-05 |
| 1255307336 | Renal Treatment Centers Northeast Inc | Clinic/Center | 605 W Newport Pike, Newport, DE 19804-3235 | 2006-02-27 |
| 1942393863 | Renal Treatment Centers Northeast Inc | Clinic/Center | 657 Willow Grove St, West Wing Medical Plaza Ste 202, Hackettstown, NJ 07840-1713 | 2006-10-02 |
| 1821050667 | Renal Treatment Centers Northeast Inc | Clinic/Center | 100 Plaza Ct, Ste B, East Stroudsburg, PA 18301-8258 | 2006-04-05 |
| 1386606267 | Renal Treatment Centers Northeast Inc | Clinic/Center | 611 Electric Ave, Lewistown, PA 17044-1128 | 2006-04-05 |
| Street Address |
1 MEDICAL CENTER BLVD STE 120 |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796516 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 501 Health Way Dr, Chester, SC 29706-2911 | 2006-08-31 |
| 1871557066 | Dva Healthcare Renal Care Inc | Clinic/Center | 10360 Iron Bridge Rd, Chester, VA 23831-1426 | 2006-04-14 |
| 1265547004 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 102 Memorial Dr, Chester, IL 62233-1470 | 2006-08-20 |
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| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.