Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Renal Treatment Centers Northeast Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1104095041

Renal Treatment Centers Northeast Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Philadelphia, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1172 S Broad St
Philadelphia, PA 19146-3142
Phone: (215) 875-6720
Fax: (215) 875-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1104095041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names South Broad Street Dialysis; South Broad Street Dialysis
NPI enumeratedFebruary 25, 2008
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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