FRESENIUS MEDICAL CARE TULSA LLC NPI 1811401631

NPI Information

FRESENIUS MEDICAL CARE TULSA, LLC is an end-stage renal disease (esrd) treatment clinic center in Tulsa, OK. FRESENIUS MEDICAL CARE TULSA, LLC NPI is 1811401631. The provider is registered as an organization entity type.
The provider Is Doing Business As Beverly Mathis Memorial.

The provider's business location address is:

5230 S MINGO RD
TULSA, OK
ZIP 74146-765
Phone: (918) 660-0816
Fax: (918) 660-0835

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 37D2140473 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2017 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:

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