Provider Demographics
NPI:1689788820
Name:BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE-OPELIKA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-662-1237
Mailing Address - Street 1:2609 VILLAGE PROFESSIONAL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801
Mailing Address - Country:US
Mailing Address - Phone:334-749-5085
Mailing Address - Fax:334-749-5906
Practice Address - Street 1:2609 VILLAGE PROFESSIONAL PARKWAY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801
Practice Address - Country:US
Practice Address - Phone:334-749-5085
Practice Address - Fax:334-749-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
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
ALDIA2515DMedicaid
ALDIA2515DMedicaid