Organization
NRA-WASHINGTON COUNTY, MISSOURI, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE POTOSI
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
600 PURCELL RD, POTOSI, MO 63664-1455
(573) 436-0723
(573) 438-1001
Mailing address
600 PURCELL RD, POTOSI, MO 63664-1455
(573) 436-0723
(573) 438-1001
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
N/A
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D1053681
CLIA CERT OF WAIVER
MO
05
—
506908607
—
MO
Enumeration date
04/26/2006
Last updated
10/17/2023
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