RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. (NPI# 1457907917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457907917 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. |
| Other Organization Name | PEAKS OF OTTER DIALYSIS |
| Practice Address |
570 Westgate Shopping Ctr Bedford VA 24523-2643 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 5408752601 |
| Practice Fax Number | 5408752622 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|---|---|
| VA | 1457907917 | 05 |
| Other Name | Type Code |
|---|---|
| Peaks of Otter Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004360 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 | 2020-05-18 |
| 1871113746 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 165 Market St Ste 6, Onancock, VA 23417-4233 | 2020-04-21 |
| 1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
| 1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
| 1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
| 1174086698 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 105 Adair Dr, Goldsboro, NC 27530-4516 | 2019-04-11 |
| 1780147207 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 9266 Us Highway 301 S, Kenly, NC 27542 | 2019-04-11 |
| 1629546577 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 901 E Main St Ste 12, Palmyra, PA 17078-1923 | 2018-11-08 |
| 1184191819 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 210 Ocean Hwy S, Hertford, NC 27944-7901 | 2018-10-31 |
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | RENAL TREATMENT CENTERS - MID-ATLANTIC, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Street Address |
570 WESTGATE SHOPPING CTR |
| City | BEDFORD |
| State | VA |
| Zip Code | 24523-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912107 | Mary Hunter T Barrow | Speech-Language Pathologist | 301 South Bridge St, Bedford, VA 24523 | 2020-08-12 |
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
| 1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
| 1720534944 | Courtney Wills | Community Health Worker | 1012 Laurel Street, Bedford, VA 24523 | 2016-08-28 |
| 1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
| 1780082388 | Americare Plus, LLC | In Home Supportive Care | 118 South Bridge Street, Bedford, VA 24523 | 2014-12-12 |
| 1962764076 | Jared Paul Quesenberry | Optometrist | 1332 Lowry St, Suite A, Bedford, VA 24523 | 2012-06-13 |
| 1336379049 | Judith Ann Bair | Social Worker | 1105 Maiden Lane, Bedford, VA 24523 | 2009-07-16 |
| 1770662272 | Pamela L Thompson | Physical Therapist | 1364 American Way Village, Heartland Rehabilitation Services of Virginia Inc, Bedford, VA 24523 | 2006-11-03 |
| Find all providers in zip 24523 | ||||
| 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 |
|---|---|---|---|---|
| 1881195576 | Usrc West Fork LLC | Clinic/Center | 725 N. Industrial Blvd., Suite 100, Bedford, TX 76021-6134 | 2018-02-27 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1528330636 | First Choice Dialysis of Bedford LLC | Clinic/Center | 9613 Lincoln Hwy Ste 103, Bedford, PA 15522-3748 | 2012-02-04 |
| 1700980570 | Bio-medical Applications of Virginia Inc | Clinic/Center | 838 Ole Turnpike Dr, Bedford, VA 24523-2410 | 2006-09-12 |
| 1659486405 | Ohio Renal Care Group, LLC | Clinic/Center | 5035 Richmond Rd, Bedford, OH 44146-1328 | 2006-08-20 |
| 1588622377 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 3253 Shawnee Dr S, Bedford, IN 47421-5277 | 2006-05-02 |
| 1255779039 | Ameri-tech Kidney Center-bedford LLC | Clinic/Center | 1600 Central Dr, Suite 130, Bedford, TX 76022-6028 | 2013-06-13 |
| 1780949560 | Total Renal Care Inc | Clinic/Center | 15 Constitution Dr, Ste 1c, Bedford, NH 03110-6002 | 2012-07-09 |
| 1861717449 | Fresenius Medical Care Roanoke Valley Dialysis, LLC | Clinic/Center | 838 Ole Turnpike Dr, Bedford, VA 24523-2410 | 2010-04-07 |
| 1952400640 | Ameri-tech Kidney Center | Clinic/Center | 1600 Central Dr, Suite 130, Bedford, TX 76022-6000 | 2006-09-21 |
| Find all providers in BEDFORD | ||||
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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.