Provider Demographics
NPI:1457017899
Name:FRESENIUS MEDICAL CARE VENTURES, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE VENTURES, LLC
Other - Org Name:
Other - Org Type:
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:214-445-3010
Mailing Address - Street 1:158 S 32ND ST STE 19
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5114
Mailing Address - Country:US
Mailing Address - Phone:717-731-0506
Mailing Address - Fax:707-731-0508
Practice Address - Street 1:158 S 32ND ST STE 19
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5114
Practice Address - Country:US
Practice Address - Phone:717-731-0506
Practice Address - Fax:707-731-0508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment