1821310244 NPI number — FRESENIUS MEDICAL CARE NEPHROLOGY AND INTERNAL MEDICINE DIALYSIS CENTE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821310244 NPI number — FRESENIUS MEDICAL CARE NEPHROLOGY AND INTERNAL MEDICINE DIALYSIS CENTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRESENIUS MEDICAL CARE NEPHROLOGY AND INTERNAL MEDICINE DIALYSIS CENTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FRESENIUS MEDICAL CARE INDIANAPOLIS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821310244
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2480 N MERIDIAN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46208-5732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-923-4520
Provider Business Mailing Address Fax Number:
317-923-4537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2480 N MERIDIAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46208-5732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-923-4520
Provider Business Practice Location Address Fax Number:
317-923-4537
Provider Enumeration Date:
02/26/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BLANTON
Authorized Official First Name:
BARRY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
781-699-9000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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