Provider Demographics
NPI:1376283770
Name:FRESENIUS MEDICAL CARE WEYMOUTH, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE WEYMOUTH, LLC
Other - Org Name:QCDC OF WEYMOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:2 WEST ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1861
Mailing Address - Country:US
Mailing Address - Phone:781-331-4100
Mailing Address - Fax:781-331-0672
Practice Address - Street 1:2 WEST ST STE 1
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1861
Practice Address - Country:US
Practice Address - Phone:781-331-4100
Practice Address - Fax:781-331-0672
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-01
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment