Provider Demographics
NPI:1114021995
Name:RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.
Entity Type:Organization
Organization Name:RENEX DIALYSIS CLINIC OF PITTSBURGH, INC.
Other - Org Name:FRESENIUS MEDICAL CARE CLAIRTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:575 COAL VALLEY RD STE 262
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3724
Mailing Address - Country:US
Mailing Address - Phone:412-469-7011
Mailing Address - Fax:412-469-7234
Practice Address - Street 1:575 COAL VALLEY RD STE 262
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3724
Practice Address - Country:US
Practice Address - Phone:412-469-7011
Practice Address - Fax:412-469-7234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
392576Medicare Oscar/Certification