Provider Demographics
NPI:1710140967
Name:BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE NORTH TULSA
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:781-699-9000
Mailing Address - Street 1:2309A W EDISON ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-5218
Mailing Address - Country:US
Mailing Address - Phone:918-599-5139
Mailing Address - Fax:918-599-5076
Practice Address - Street 1:2309A W EDISON ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-5218
Practice Address - Country:US
Practice Address - Phone:918-599-5139
Practice Address - Fax:918-599-5076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-08
Last Update Date:2009-04-09
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
372578Medicare Oscar/Certification