Organization
FMS GULFPORT, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
South Mississippi Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MARK R FAWCETT (REGULATORY AFFAIRS SPECIALIST)
(781) 699-9303
Entity
Organization
Contact information
Practice address
3301 25TH AVE, GULFPORT, MS 39501-5910
(228) 436-9819
(228) 432-1744
Mailing address
3301 25TH AVE, GULFPORT, MS 39501-5910
(228) 436-9819
(228) 432-1744
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MS
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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