Provider Demographics
NPI:1174628457
Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC.
Other - Org Name:FMC DIALYSIS SERVICES HAHNEMANN
Other - Org Type:Doing Business As
Authorized Official - Title/Position: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 1:230 N BROAD ST
Mailing Address - Street 2:18TH FL., SOUTH TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1121
Mailing Address - Country:US
Mailing Address - Phone:215-762-7039
Mailing Address - Fax:215-762-7015
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:18TH FL., SOUTH TOWER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-7039
Practice Address - Fax:215-762-7015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-13
Last Update Date:2011-11-15
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
PA392694Medicare Oscar/Certification