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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE YOUNGSTOWN, LLC

MEDICARE: FRESENIUS MEDICAL CARE YOUNGSTOWN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1215447321
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE YOUNGSTOWN, LLC
Provider Business Mailing Address
First Line : 4941 ENTERPRISE DR NW
Second Line :
City : WARREN
State : OH
Zip : 44481-8706
Country : US
Telephone Number : 330-898-0801
Fax Number : 330-898-0811
Provider Business Practice Location Address
First Line : 4941 ENTERPRISE DR NW
Second Line :
City : WARREN
State : OH
Zip : 44481-8706
Country : US
Telephone Number : 330-898-0801
Fax Number : 330-898-0811
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 10/03/2017
Last Update Date : 10/20/2023

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