Provider Demographics
NPI:1104012020
Name:BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF NEW MEXICO, INC.
Other - Org Name:FRESENIUS MEDICAL CARE NORTH RIO RANCHO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:7555 ENCHANTED HILLS BLVD.
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144
Mailing Address - Country:US
Mailing Address - Phone:505-867-0537
Mailing Address - Fax:505-867-6126
Practice Address - Street 1:7555 ENCHANTED HILLS BLVD.
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144
Practice Address - Country:US
Practice Address - Phone:505-867-0537
Practice Address - Fax:505-867-6126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-25
Last Update Date:2009-03-12
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
322533Medicare Oscar/Certification