NPIMap

Organization Active NPI

North Central Pennsylvania Dialysis Clincs LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Williamsport, PA
National Provider Identifier
1710369467
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS LLC
Doing business as
North Central Pennsylvania Dialysis Clinics - Grampian
Practice address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone
(330) 781-6212
NPI assigned
Jun 18, 2015
Organization subpart
Yes
Parent organization
NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chester A. Amedia Jr., MD
Title
Managing Partner
Phone
(330) 781-6212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1201 Grampian Blvd
Williamsport, PA 17701-1900

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Other names 1

  • North Central Pennsylvania Dialysis Clinics - Grampian Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Central Pennsylvania Dialysis Clincs LLC3 organizations share this tax ID, including this one
Part of
North Central Pennsylvania Dialysis Clincs LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1710369467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "330-781-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINCS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "AMEDIA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-781-6212",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Pennsylvania Dialysis Clinics - Grampian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.