Organization
FRESENIUS MEDICAL CARE KOKE MILL, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE SPRINGFIELD KOKE MILL HOME
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
2550 S KOKE MILL RD, SPRINGFIELD, IL 62711-9617
(217) 546-9853
(217) 546-9854
Mailing address
2550 S KOKE MILL RD, SPRINGFIELD, IL 62711-9617
(217) 546-9853
(217) 546-9854
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
10/19/2023
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