Provider Demographics
NPI:1669499307
Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE WESTERN PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:5124 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2257
Mailing Address - Country:US
Mailing Address - Phone:412-682-0205
Mailing Address - Fax:412-682-3954
Practice Address - Street 1:5124 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2257
Practice Address - Country:US
Practice Address - Phone:412-682-0205
Practice Address - Fax:412-682-3954
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-17
Last Update Date:2008-07-15
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
PA1041053Medicaid
392542Medicare Oscar/Certification