Organization
NRA-GEORGETOWN, KENTUCKY, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
GEORGETOWN DIALYSIS CLINIC
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
98 MARY LYNN DR, GEORGETOWN, KY 40324-8520
(502) 867-3855
(502) 867-4899
Mailing address
98 MARY LYNN DR, GEORGETOWN, KY 40324-8520
(502) 867-3855
(502) 867-4899
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300193
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D1071520
CLIA CERT OF WAIVER
KY
05
—
PENDING
—
KY
Enumeration date
05/09/2007
Last updated
10/17/2023
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