Organization
FRESENIUS MEDICAL CARE DIALYSIS SERVICES - OREGON, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE EMERALD VALLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
JAMES J. DIVITO (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
350 Q ST, SPRINGFIELD, OR 97477-2140
(541) 747-4061
(541) 747-4092
Mailing address
350 Q ST, SPRINGFIELD, OR 97477-2140
(541) 747-4061
(541) 747-4092
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382574
PTAN
OR
Enumeration date
02/10/2014
Last updated
12/23/2020
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