Renal Treatment Centers Mid Atlantic Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Buena Vista, GA
NPI 1689643306 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1689643306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- ESRD001122 (GA)
- Legal business name
- RENAL TREATMENT CENTERS MID ATLANTIC INC
- Practice address
- 102 East Burkhalter Ave
Suite a
Buena Vista, GA 31803-1701 - Phone
- (229) 649-5017
- Fax
- (229) 649-6410
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
Authorized official
- Name
- James K Hilger
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | ESRD001122 | GA | Yes |
Addresses
Primary practice location
102 East Burkhalter Ave
Suite a
Buena Vista, GA 31803-1701
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000727394A | Medicaid | GA |
Other names
- Buena Vista Dialysis
Other providers in Buena Vista, GA
- Marion Family Medicine, PC
- Marion Family Practice
- Heather L Murray
- David Shawn Parish
- Becky M Powell
- Rinns Pharmacy
- Julia Roberts
- Robert L Sales
- Tammy Albritton Singleton
- Deshannon Swanson
All providers in Buena Vista, GA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.