Organization
NRA-ORANGEBURG, SOUTH CAROLINA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
ORANGEBURG 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
1184 ORANGEBURG MALL CIR, ORANGEBURG, SC 29115-3439
(803) 531-7501
(803) 531-7553
Mailing address
1184 ORANGEBURG MALL CIR, ORANGEBURG, SC 29115-3439
(803) 531-7501
(803) 531-7553
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-131
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D1011036
CLIA CERTIFICATE OF WAIVE
SC
05
—
ERD131
—
SC
Enumeration date
05/30/2006
Last updated
10/17/2023
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