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FRESENIUS MEDICAL CARE SOUTH BEND LLC NPI 1740621689


NPI Information

NPI: 1740621689
Provider Name: FRESENIUS MEDICAL CARE SOUTH BEND, LLC

Doing Business As: FRESENIUS MEDICAL CARE SOUTH BEND

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 15D2064008

Address:
320 S DR MARTIN LUTHER KING JR BLVD
SOUTH BEND, IN
ZIP 46601
Phone: (574) 246-0752
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FRESENIUS MEDICAL CARE SOUTH BEND, LLC is an end-stage renal disease (esrd) treatment clinic center in South Bend, IN. FRESENIUS MEDICAL CARE SOUTH BEND, LLC NPI is 1740621689. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care South Bend.

The provider's business location address is:

320 S DR MARTIN LUTHER KING JR BLVD
SOUTH BEND, IN
ZIP 46601-357
Phone: (574) 246-0752
Fax: (574) 246-0759

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 15D2064008 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 10/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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