Organization
NRA-ROANOKE, ALABAMA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
ROANOKE 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
4459 HIGHWAY 431, ROANOKE, AL 36274-2603
(334) 863-8365
(334) 863-8364
Mailing address
4459 HIGHWAY 431, ROANOKE, AL 36274-2603
(334) 863-8365
(334) 863-8364
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10801
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D1007307
CLIA
AL
05
—
DIA2607D
—
AL
Enumeration date
11/03/2005
Last updated
10/17/2023
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