Organization
NRA-BAMBERG, SOUTH CAROLINA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
BAMBERG DIALYSIS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
2046 MAIN HWY, BAMBERG, SC 29003-1082
(803) 245-1775
(803) 245-9390
Mailing address
2046 MAIN HWY, BAMBERG, SC 29003-1082
(803) 245-1775
(803) 245-9390
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D1013180
CLIA CERTIFICATE OF WAIVE
SC
05
—
ERD136
—
SC
Enumeration date
05/28/2006
Last updated
10/17/2023
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