Provider Demographics
NPI:1346563566
Name:FRESENIUS MEDICAL CARE NEPHROLOGY AND INTERNAL MEDICINE DIALYSIS CENTE
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE NEPHROLOGY AND INTERNAL MEDICINE DIALYSIS CENTE
Other - Org Name:FRESENIUS MEDICAL CARE HENDRICKS COUNTY
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 1:1594 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1933
Mailing Address - Country:US
Mailing Address - Phone:317-718-0347
Mailing Address - Fax:317-718-0350
Practice Address - Street 1:1594 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1933
Practice Address - Country:US
Practice Address - Phone:317-718-0347
Practice Address - Fax:317-718-0350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-02
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment