Provider Demographics
NPI:1487848099
Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE COON RAPIDS
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 1:3465 NORTHDALE BLVD NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-6715
Mailing Address - Country:US
Mailing Address - Phone:763-862-6088
Mailing Address - Fax:763-862-8325
Practice Address - Street 1:3465 NORTHDALE BLVD NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55448-6715
Practice Address - Country:US
Practice Address - Phone:763-862-6088
Practice Address - Fax:763-862-8325
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-28
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN242572Medicare Oscar/Certification