Provider Demographics
NPI:1942784541
Name:FRESENIUS MEDICAL CARE FRESNO NORTH HOME, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE FRESNO NORTH HOME, LLC
Other - Org Name:FRESENIUS KIDNEY CARE FRESNO NORTH HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
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:781-699-9000
Mailing Address - Street 1:6733 N WILLOW AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5953
Mailing Address - Country:US
Mailing Address - Phone:559-324-8671
Mailing Address - Fax:559-324-8712
Practice Address - Street 1:6733 N WILLOW AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5953
Practice Address - Country:US
Practice Address - Phone:559-324-8671
Practice Address - Fax:559-324-8712
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-19
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment