| Organization Name: | NORTH CENTRAL PENNSYLVANIA DIALYSIS CLINICS LLC |
| NPI Number: | 1295730505 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHESTER A. AMEDIA (CEO) |
| Mailing Address: | 257 S Hanna St Lock Haven |
| State: | PA US |
| Postal Code: | 177453644 |
| Phone Number: | 5707483800 |
| Fax Number: | 5707484650 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |