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FRESENIUS MEDICAL CARE INDIANA LLC NPI 1205295300


NPI Information

NPI: 1205295300
Provider Name: FRESENIUS MEDICAL CARE INDIANA, LLC

Doing Business As: FRESENIUS MEDICAL CARE INDIANAPOLIS WEST

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 15D0893070

Address:
6855 SHORE TER STE 100
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 484-3550
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FRESENIUS MEDICAL CARE INDIANA, LLC is an end-stage renal disease (esrd) treatment clinic center in Indianapolis, IN. FRESENIUS MEDICAL CARE INDIANA, LLC NPI is 1205295300. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Indianapolis West.

The provider's business location address is:

6855 SHORE TER STE 100
INDIANAPOLIS, IN
ZIP 46254-663
Phone: (317) 484-3550
Fax: (317) 484-3560

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 15D0893070 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 10/16/2023.


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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