Provider Demographics
NPI:1790029536
Name:FRESENIUS MEDICAL CENTER
Entity type:Organization
Organization Name:FRESENIUS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HEMODIALYSIS TECHNICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALEGRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-342-8080
Mailing Address - Street 1:365 LENNON LN STE 160
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5908
Mailing Address - Country:US
Mailing Address - Phone:925-947-4545
Mailing Address - Fax:925-947-4547
Practice Address - Street 1:365 LENNON LN STE 160
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5908
Practice Address - Country:US
Practice Address - Phone:925-947-4545
Practice Address - Fax:925-947-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-17
Last Update Date:2012-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00012497251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care