| Pennsylvania Dialysis Clinic Of Reading, Inc. | |
|
625 Spring St Wyomissing PA 19610-1770 | |
| (610) 375-1215 | |
| (610) 375-0245 |
| Full Name | Pennsylvania Dialysis Clinic Of Reading, Inc. |
|---|---|
| Speciality | Clinic/center - End-stage Renal Disease (esrd) Treatment |
| Location | 625 Spring St, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Sandra D. Flood (COO) |
| Authorized Official Contact | 3055345102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Dialysis Clinic Of Reading, Inc. Po Box 536171 Pittsburgh PA 15253-5903 Ph: (610) 375-1215 | Pennsylvania Dialysis Clinic Of Reading, Inc. 625 Spring St Wyomissing PA 19610-1770 Ph: (610) 375-1215 |
| NPI Number | 1023002391 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023002391 | NPI | - | NPPES |
| 0011017970003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Primary |
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