Provider Demographics
NPI:1275088908
Name:OIL CITY DIALYSIS CENTER, LLC
Entity Type:Organization
Organization Name:OIL CITY DIALYSIS CENTER, LLC
Other - Org Name:FRESENIUS KIDNEY CARE OIL CITY
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 1:6945 US 322 STE 640
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:16319-3125
Mailing Address - Country:US
Mailing Address - Phone:814-677-7034
Mailing Address - Fax:814-676-8774
Practice Address - Street 1:6945 US 322 STE 640
Practice Address - Street 2:
Practice Address - City:CRANBERRY
Practice Address - State:PA
Practice Address - Zip Code:16319-3125
Practice Address - Country:US
Practice Address - Phone:814-677-7034
Practice Address - Fax:814-676-8774
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-23
Last Update Date:2023-10-23
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
PA103256344Medicaid
PA103256344Medicaid