Provider Demographics
NPI:1982945952
Name:BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
Other - Org Name:FRESENIUS MEDICAL CARE NEOSHO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP AND TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:915 W. HARMONY STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-1656
Mailing Address - Country:US
Mailing Address - Phone:417-455-9126
Mailing Address - Fax:417-455-9145
Practice Address - Street 1:915-B W. HARMONY STREET
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-1630
Practice Address - Country:US
Practice Address - Phone:417-455-9126
Practice Address - Fax:417-455-9145
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-15
Last Update Date:2013-11-18
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
MO262658Medicare Oscar/Certification