Fair Oaks Dialysis

LBN: Renal Treatment Centers Mid Atlantic Inc
Fair Oaks Dialysis is an health care organization with primary practice located at 3955 Pender Dr Suite 110, Fairfax VA 22030-6091. 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) 385-5315, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
3955 Pender Dr Suite 110 Fairfax VA 22030-6091
Phone: (703) 385-5315
Fax: (703) 385-6731
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1346204575
LBN Legal business name Renal Treatment Centers Mid Atlantic Inc
DBA Doing business as Fair Oaks Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 25th, 2023 - about 3 years ago

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 1346204575 NPPES
Virginia MEDICAID 1346204575

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