Organization
FMS CLYDE PARK SOUTH, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE CLYDE PARK SOUTH
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
5311 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509-9527
(616) 534-7179
(616) 534-7930
Mailing address
5311 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509-9527
(616) 534-7179
(616) 534-7930
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
10/20/2023
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