Provider Demographics
NPI:1093827891
Name:QUALICENTERS EUGENE-SPRINGFIELD, LTD.
Entity Type:Organization
Organization Name:QUALICENTERS EUGENE-SPRINGFIELD, LTD.
Other - Org Name:FRESENIUS MEDICAL CARE SPRINGFIELD OREGON
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 1:304 Q ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-2140
Mailing Address - Country:US
Mailing Address - Phone:541-741-8005
Mailing Address - Fax:541-741-7950
Practice Address - Street 1:304 Q ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-2140
Practice Address - Country:US
Practice Address - Phone:541-741-8005
Practice Address - Fax:541-741-7950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
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
382508Medicare Oscar/Certification