Provider Demographics
NPI:1972752236
Name:FRESENIUS MEDICAL CARE LANCASTER NEPHROLOGY INVESTMENTS, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE LANCASTER NEPHROLOGY INVESTMENTS, LLC
Other - Org Name:FRESENIUS MEDICAL CARE HOCKING HILLS
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 1:1550 SHERIDAN DR STE 206
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1380
Mailing Address - Country:US
Mailing Address - Phone:740-689-0566
Mailing Address - Fax:740-689-0366
Practice Address - Street 1:1550 SHERIDAN DR STE 206
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1380
Practice Address - Country:US
Practice Address - Phone:740-689-0566
Practice Address - Fax:740-689-0366
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-11
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
362579Medicare Oscar/Certification