Provider Demographics
NPI:1114368065
Name:BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE WEST MADISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:29569 HUNTSVILLE BROWNSFERRY RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-3639
Mailing Address - Country:US
Mailing Address - Phone:256-536-1881
Mailing Address - Fax:256-536-0945
Practice Address - Street 1:29569 HUNTSVILLE BROWNSFERRY RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35756-3639
Practice Address - Country:US
Practice Address - Phone:256-536-1881
Practice Address - Fax:256-536-0945
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment