FRESENIUS MEDICAL CARE MCDONOUGH LLC NPI 1174125603

NPI Information

NPI: 1174125603
Provider Name: FRESENIUS MEDICAL CARE MCDONOUGH, LLC

Doing Business As: FRESENIUS KIDNEY CARE MCDONOUGH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
50 KELLY RD STE 100
MCDONOUGH, GA
ZIP 30253
Phone: (678) 833-9520
Get Directions

FRESENIUS MEDICAL CARE MCDONOUGH, LLC is an end-stage renal disease (esrd) treatment clinic center in Mcdonough, GA. FRESENIUS MEDICAL CARE MCDONOUGH, LLC NPI is 1174125603. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Mcdonough.

The provider's business location address is:

50 KELLY RD STE 100
MCDONOUGH, GA
ZIP 30253-097
Phone: (678) 833-9520
Fax: (678) 719-3011

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 enumeration date for this NPI number is 11/10/2020 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	003225958A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »