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NPI Code Detail

MEDICARE: FRESENIUS VASCULAR CARE HENDERSON ASC LLC

MEDICARE: FRESENIUS VASCULAR CARE HENDERSON ASC 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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1720813959
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS VASCULAR CARE HENDERSON ASC LLC
Provider Business Mailing Address
First Line : PO BOX 411929
Second Line :
City : BOSTON
State : MA
Zip : 02241-1929
Country : US
Telephone Number : 610-644-8900
Fax Number : 484-924-0053
Provider Business Practice Location Address
First Line : 3051 W HORIZON RIDGE PKWY # 110
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3990
Country : US
Telephone Number : 702-640-5443
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : GREGG MILLER
Credential : MD
Telephone Number : 717-515-4048
Provider Enumeration Date : 09/06/2024
Last Update Date : 03/02/2026

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