Organization
SJLS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
ST. JOSEPH'S DIALYSIS - NORTHEAST
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
4105 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6636
(315) 329-2580
(315) 329-7203
Mailing address
4105 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6636
(315) 329-2580
(315) 329-7203
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03204491
—
NY
Enumeration date
01/07/2009
Last updated
10/17/2023
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