FRESENIUS MEDICAL CARE CHARLES COUNTY LLC NPI 1225615479

NPI Information

  • NPI: 1225615479
  • Provider Name: FRESENIUS MEDICAL CARE CHARLES COUNTY, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: FRESENIUS KIDNEY CARE WALDORF WEST
  • CLIA Number: 21D2216985
  • Address: 3015 TECHNOLOGY PL STE 120
    WALDORF, MD
    ZIP 20601
  • Phone: (240) 435-7733

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NPI Details

FRESENIUS MEDICAL CARE CHARLES COUNTY, LLC is an end-stage renal disease (esrd) treatment clinic center in Waldorf, MD. FRESENIUS MEDICAL CARE CHARLES COUNTY, LLC NPI is 1225615479. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Waldorf West.

The provider's business location address is:

3015 TECHNOLOGY PL STE 120
WALDORF, MD
ZIP 20601-988
Phone: (240) 435-7733
Fax: (301) 710-0068

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 21D2216985 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2021 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: 11/21/2025

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