Provider Demographics
NPI:1033546767
Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE CANNON VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:396 SCHILLING DR S STE 400
Mailing Address - Street 2:
Mailing Address - City:DUNDAS
Mailing Address - State:MN
Mailing Address - Zip Code:55019-3948
Mailing Address - Country:US
Mailing Address - Phone:507-645-6817
Mailing Address - Fax:507-645-4178
Practice Address - Street 1:396 SCHILLING DR S STE 400
Practice Address - Street 2:
Practice Address - City:DUNDAS
Practice Address - State:MN
Practice Address - Zip Code:55019-3948
Practice Address - Country:US
Practice Address - Phone:507-645-6817
Practice Address - Fax:507-645-4178
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-26
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment