Pocono Dialysis Center

LBN: Renal Treatment Centers Northeast Inc
Pocono Dialysis Center is an health care organization with primary practice located at 100 Plaza Ct Ste B, East Stroudsburg PA 18301-8258. 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 Northeast Inc can be contacted via phone (570) 476-5630, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
100 Plaza Ct Ste B East Stroudsburg PA 18301-8258
Phone: (570) 476-5630
Fax: (570) 476-5634
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1821050667
LBN Legal business name Renal Treatment Centers Northeast Inc
DBA Doing business as Pocono Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Jun 11th, 2024 - about 2 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 1821050667 NPPES
New Jersey MEDICAID 0032832
New Jersey MEDICAID 100729430 0010

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