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Organization

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE

Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS INC
Other names
CKD Services of Uniontown
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS INC
Authorized official
MARK FAWCETT (VICE PRESIDENT, TREASURE)
(781) 699-2668
Entity
Organization

Contact information

Practice address
360 WALMART DR, UNIONTOWN, PA 15401-3109
(724) 832-8169
(724) 439-5397
Mailing address
920 WINTER ST, FMCNA CKD SERVICES 3W-16, WALTHAM, MA 02451-1521
(781) 699-4160
(781) 699-4046

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
PA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
363LA2100X
Acute Care Nurse Practitioner
PA
363LF0000X
Family Nurse Practitioner
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102264056 0001
PA
Enumeration date
02/20/2008
Last updated
11/05/2012
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