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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE GARDEN CITY, LLC

MEDICARE: FRESENIUS MEDICAL CARE GARDEN CITY, 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/CenterKS

General Provider Information

NPI Number : 1871943712
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE GARDEN CITY, LLC
Provider Business Mailing Address
First Line : 2053 E MARY ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-3617
Country : US
Telephone Number : 620-272-0627
Fax Number : 620-272-0634
Provider Business Practice Location Address
First Line : 2053 E MARY ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-3617
Country : US
Telephone Number : 620-272-0627
Fax Number : 620-272-0634
Authorized Official
Title or Position : SVP
Name : BARRY BLANTON
Credential :
Telephone Number : 781-388-9000
Provider Enumeration Date : 06/21/2016
Last Update Date : 11/06/2024

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