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FRESENIUS MEDICAL CARE PHELPS COUNTY LLC NPI 1295495133


NPI Information

NPI: 1295495133
Provider Name: FRESENIUS MEDICAL CARE PHELPS COUNTY, LLC

Doing Business As: FRESENIUS KIDNEY CARE PHELPS COUNTY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 26D2242412

Address:
1070 S BISHOP AVE STE C
ROLLA, MO
ZIP 65401
Phone: (573) 226-4780
Get Directions

FRESENIUS MEDICAL CARE PHELPS COUNTY, LLC is an end-stage renal disease (esrd) treatment clinic center in Rolla, MO. FRESENIUS MEDICAL CARE PHELPS COUNTY, LLC NPI is 1295495133. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Phelps County.

The provider's business location address is:

1070 S BISHOP AVE STE C
ROLLA, MO
ZIP 65401-465
Phone: (573) 226-4780
Fax: (573) 203-6110

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 26D2242412 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2021 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
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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