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BIO-MEDICAL APPLICATIONS OF IILINOIS INC. NPI 1427165091


NPI Information

NPI: 1427165091
Provider Name: BIO-MEDICAL APPLICATIONS OF IILINOIS, INC.

Doing Business As: FRESENIUS MEDICAL CARE SOUTHWESTERN ILLINOIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D0646872

Address:
7 PROFESSIONAL DR
ALTON, IL
ZIP 62002
Phone: (618) 254-1117
Get Directions

BIO-MEDICAL APPLICATIONS OF IILINOIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Alton, IL. BIO-MEDICAL APPLICATIONS OF IILINOIS, INC. NPI is 1427165091. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Southwestern Illinois.

The provider's business location address is:

7 PROFESSIONAL DR
ALTON, IL
ZIP 62002-067
Phone: (618) 254-1117
Fax: (618) 254-1194

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D0646872 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 2/10/2014.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16212454444001MEDICAIDILLINOIS
2142535MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

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