Provider Demographics
NPI:1437399094
Name:BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.
Other - Org Name:FRESENIUS MEDICAL CARE ST. JOHNSBURY
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 1:1080 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-6001
Mailing Address - Country:US
Mailing Address - Phone:802-751-8735
Mailing Address - Fax:802-748-8714
Practice Address - Street 1:1080 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SAINT JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-6001
Practice Address - Country:US
Practice Address - Phone:802-751-8735
Practice Address - Fax:802-748-8714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-23
Last Update Date:2023-10-16
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
472501Medicare Oscar/Certification