Organization
NRA BAY CITY L.P.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Matagorda Renal Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MR. MARK R. FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1105 AVENUE H, BAY CITY, TX 77414-3538
(979) 245-0099
(979) 245-6435
Mailing address
1105 AVENUE H, BAY CITY, TX 77414-3538
(979) 245-0099
(979) 245-6435
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013425
—
TX
05
—
1539445
—
TX
01
—
45D1016253
CLIA CERTIFICATE OF WAIVE
TX
Enumeration date
05/31/2006
Last updated
03/12/2013
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