FRESENIUS MEDICAL CARE OF ILLINOIS LLC NPI 1710511399

NPI Information

NPI: 1710511399
Provider Name: FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Doing Business As: FRESENIUS KIDNEY CARE MADISON COUNTY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1946 GRAND AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 801-4845
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FRESENIUS MEDICAL CARE OF ILLINOIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Granite City, IL. FRESENIUS MEDICAL CARE OF ILLINOIS, LLC NPI is 1710511399. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Madison County.

The provider's business location address is:

1946 GRAND AVE
GRANITE CITY, IL
ZIP 62040-613
Phone: (618) 801-4845
Fax: (618) 801-4850

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 14D2181302 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2020 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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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