FRESENIUS MEDICAL CARE FORT WAYNE LLC NPI 1952722076

NPI Information

FRESENIUS MEDICAL CARE FORT WAYNE, LLC is an end-stage renal disease (esrd) treatment clinic center in Bryan, OH. FRESENIUS MEDICAL CARE FORT WAYNE, LLC NPI is 1952722076. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Bryan.

The provider's business location address is:

537 W HIGH ST
BRYAN, OH
ZIP 43506-619
Phone: (419) 636-0584
Fax: (419) 636-0479

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 36D0901156 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 9/1/2021.

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:

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