Provider Demographics
NPI:1457016032
Name:FRESENIUS MEDICAL CARE CHATTANOOGA, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE CHATTANOOGA, LLC
Other - Org Name:FRESENIUS KIDNEY CARE CHATTANOOGA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-632-3415
Mailing Address - Street 1:2118 STEIN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1691
Mailing Address - Country:US
Mailing Address - Phone:423-648-4900
Mailing Address - Fax:423-648-4906
Practice Address - Street 1:2118 STEIN DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1691
Practice Address - Country:US
Practice Address - Phone:423-648-4900
Practice Address - Fax:423-648-4906
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-08
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