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BIO-MEDICAL APPLICATIONS OF CONNECTICUT INC. NPI 1043243413


NPI Information

NPI: 1043243413
Provider Name: BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.

Doing Business As: FRESENIUS MEDICAL CARE FORESTVILLE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 07D0994847

Address:
135 MIDDLE ST
BRISTOL, CT
ZIP 06010
Phone: (860) 584-2155
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BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC. is an end-stage renal disease (esrd) treatment clinic center in Bristol, CT. BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC. NPI is 1043243413. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Forestville.

The provider's business location address is:

135 MIDDLE ST
BRISTOL, CT
ZIP 06010-404
Phone: (860) 584-2155
Fax: (860) 584-2646

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 07D0994847 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 10/13/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment0273CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004223905MEDICAIDCONNECTICUT

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: 5/5/2024

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