Provider Demographics
NPI:1083623797
Name:BIO-MEDICAL APPLICATIONS OF DOVER, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF DOVER, INC.
Other - Org Name:SEACOAST DIALYSIS CENTER
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 1:155 BORTHWICK AVE STE 100E
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7159
Mailing Address - Country:US
Mailing Address - Phone:603-436-4567
Mailing Address - Fax:603-431-6067
Practice Address - Street 1:155 BORTHWICK AVE STE 100E
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7159
Practice Address - Country:US
Practice Address - Phone:603-436-4567
Practice Address - Fax:603-431-6067
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-05
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80302501Medicaid
NH80302501Medicaid