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FRESENIUS KIDNEY CARE BRISTOW LLC NPI 1164943833


NPI Information

NPI: 1164943833
Provider Name: FRESENIUS KIDNEY CARE BRISTOW, LLC

Doing Business As: FRESENIUS KIDNEY CARE BRISTOW

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 37D2042409

Address:
402 S MAIN ST
BRISTOW, OK
ZIP 74010
Phone: (918) 771-4093
Get Directions

FRESENIUS KIDNEY CARE BRISTOW, LLC is an end-stage renal disease (esrd) treatment clinic center in Bristow, OK. FRESENIUS KIDNEY CARE BRISTOW, LLC NPI is 1164943833. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Bristow.

The provider's business location address is:

402 S MAIN ST
BRISTOW, OK
ZIP 74010-204
Phone: (918) 771-4093
Fax: (918) 771-4137

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 37D2042409 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 10/20/2023.


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) 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: 5/5/2024

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