Provider Demographics
NPI:1073252441
Name:FRESENIUS MEDICAL CARE BEAUFORT COUNTY, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE BEAUFORT COUNTY, LLC
Other - Org Name:FRESENIUS KIDNEY CARE PORT ROYAL DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:225 CHAMPS WAY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-4293
Mailing Address - Country:US
Mailing Address - Phone:438-593-9800
Mailing Address - Fax:843-941-6175
Practice Address - Street 1:225 CHAMPS WAY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4293
Practice Address - Country:US
Practice Address - Phone:438-593-9800
Practice Address - Fax:843-941-6175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-02
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment