Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bedford, VA

NPI number 1457907917 Active

Practice location

570 Blue Ridge Ave
Bedford, VA 24523-2604

Call (540) 875-2601 Map

Fax (540) 875-2622

Mailing address

5200 Virginia Way, L & C Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1457907917
Entity type: Organization (Type 2)
Issued: Aug 12, 2019
Last updated: Apr 27, 2026
Status: Active

Other names

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Peaks of Otter Dialysis · doing business as
Peaks of Otter Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1457907917

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1457907917, issued on Aug 12, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bedford, VA. The record was last updated on Apr 27, 2026.