Pentagon City Dialysis

LBN: Renal Treatment Centers - Mid-Atlantic, Inc.
Pentagon City Dialysis is an health care organization with primary practice located at 1785 S Hayes St , Arlington VA 22202-2714. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Renal Treatment Centers - Mid-Atlantic, Inc. can be contacted via phone (703) 920-0980, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1785 S Hayes St Arlington VA 22202-2714
Phone: (703) 920-0980
Fax: (703) 920-0983
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Virginia

Profile Details

NPI number 1174041255
LBN Legal business name Renal Treatment Centers - Mid-Atlantic, Inc.
DBA Doing business as Pentagon City Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2017
Last updated Jan 22nd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174041255 NPPES
Virginia MEDICAID 1174041255

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