Healthcare Provider Details

I. General information

NPI: 1740437128
Provider Name (Legal Business Name): FRESENIUS KIDNEY CARE PITTSBURGH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ROBINSON PLZ SUITE 110
PITTSBURGH PA
15205-1024
US

IV. Provider business mailing address

3 ROBINSON PLZ SUITE 110
PITTSBURGH PA
15205-1024
US

V. Phone/Fax

Practice location:
  • Phone: 412-494-6902
  • Fax: 412-494-6909
Mailing address:
  • Phone: 412-494-6902
  • Fax: 412-494-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK FAWCETT
Title or Position: TREASURER
Credential:
Phone: 781-699-9000