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FMS PHILADELPHIA DIALYSIS LLC NPI 1689778458


NPI Information

NPI: 1689778458
Provider Name: FMS PHILADELPHIA DIALYSIS, LLC

Doing Business As: FRESENIUS MEDICAL CARE ONTARIO DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3401 FOX ST STE A
PHILADELPHIA, PA
ZIP 19129
Phone: (215) 221-3160
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FMS PHILADELPHIA DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. FMS PHILADELPHIA DIALYSIS, LLC NPI is 1689778458. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Ontario Dialysis.

The provider's business location address is:

3401 FOX ST STE A
PHILADELPHIA, PA
ZIP 19129-230
Phone: (215) 221-3160
Fax: (215) 227-4296

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 9/12/2006 and was last updated on 8/24/2021.


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
1100735393-0009MEDICAIDPENNSYLVANIA

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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