Organization
NRA-ST. LOUIS (HOME THERAPY CENTER), MISSOURI, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRONTENAC HOME DIALYSIS CENTER
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
10435 CLAYTON RD, FRONTENAC, MO 63131-2931
(314) 567-0645
(314) 989-0986
Mailing address
10435 CLAYTON RD, FRONTENAC, MO 63131-2931
(314) 567-0645
(314) 989-0986
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
NOT APPLICABLE
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PART A CCN
MO
05
—
PENDING
—
MO
Enumeration date
07/10/2007
Last updated
10/17/2023
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