FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO LLC NPI 1073077954

NPI Information

FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO, LLC is an end-stage renal disease (esrd) treatment clinic center in Albuquerque, NM. FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO, LLC NPI is 1073077954. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Home Dialysis Of New Mexico.

The provider's business location address is:

700 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87102-568
Phone: (505) 842-5210
Fax: (505) 247-0593

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 32D2152129 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2019 and was last updated on 10/23/2023.

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:

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