FOUR STATE REGIONAL DIALYSIS CENTER INC. NPI 1902918808

NPI Information

FOUR STATE REGIONAL DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Joplin, MO. FOUR STATE REGIONAL DIALYSIS CENTER, INC. NPI is 1902918808. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Joplin West.

The provider's business location address is:

1800 W 30TH ST
JOPLIN, MO
ZIP 64804-520
Phone: (417) 782-2055

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 enumeration date for this NPI number is 8/31/2006 and was last updated on 8/27/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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