FRESENIUS MEDICAL CARE FAIRMOUNT HEIGHTS LLC NPI 1710547344

NPI Information

  • NPI: 1710547344
  • Provider Name: FRESENIUS MEDICAL CARE FAIRMOUNT HEIGHTS, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: FRESENIUS KIDNEY CARE FAIRMOUNT HEIGHTS
  • CLIA Number: 21D2171017
  • Address: 6301 WALKER MILL RD
    CAPITOL HEIGHTS, MD
    ZIP 20743
  • Phone: (301) 516-4330

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NPI Details

FRESENIUS MEDICAL CARE FAIRMOUNT HEIGHTS, LLC is an end-stage renal disease (esrd) treatment clinic center in Capitol Heights, MD. FRESENIUS MEDICAL CARE FAIRMOUNT HEIGHTS, LLC NPI is 1710547344. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Fairmount Heights.

The provider's business location address is:

6301 WALKER MILL RD
CAPITOL HEIGHTS, MD
ZIP 20743-328
Phone: (301) 516-4330
Fax: (301) 516-4335

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 21D2171017 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2019 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?

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This page was last updated on: 3/30/2025

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