Provider Demographics
NPI:1346400629
Name:BIO MEDICAL APPLICATIONS OF MICHIGAN INC
Entity Type:Organization
Organization Name:BIO MEDICAL APPLICATIONS OF MICHIGAN INC
Other - Org Name:FRESENIUS MEDICAL CARE CASS RIVER
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 1:5414 W ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48722-9668
Mailing Address - Country:US
Mailing Address - Phone:810-733-2283
Mailing Address - Fax:810-733-7725
Practice Address - Street 1:5414 W ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:MI
Practice Address - Zip Code:48722-9668
Practice Address - Country:US
Practice Address - Phone:810-733-2283
Practice Address - Fax:810-733-7725
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-11
Last Update Date:2012-09-05
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
232654Medicare Oscar/Certification