FRESENIUS MEDICAL CARE FORT WAYNE, LLC (NPI# 1104247154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104247154 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FORT WAYNE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE TRI-COUNTIES |
| Practice Address |
817 S 13th St Decatur IN 46733-1891 |
| Practice Telephone | 2607248303 |
| Practice Fax Number | 2607247685 |
| Mailing Telephone | 2607248303 |
| Mailing Fax Number | 2607247685 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | MARK R FAWCETT (VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Tri-Counties | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358825 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1797 W Kem Rd, Marion, IN 46952-1733 | 2013-12-27 |
| 1518388461 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1144 W 15th St, Auburn, IN 46706-2096 | 2013-12-19 |
| 1306267257 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2013-12-19 |
| 1154742120 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 25 W 2nd St, Peru, IN 46970-2160 | 2013-12-18 |
| 1760803712 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 1850 E 2nd St, Suites 1846 & 1850, Defiance, OH 43512-2502 | 2013-12-18 |
| 1457772410 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 3334 Lake City Hwy, Warsaw, IN 46580-3923 | 2013-12-18 |
| 1952722076 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 537 W High St, Bryan, OH 43506-1619 | 2013-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FRESENIUS MEDICAL CARE FORT WAYNE, LLC | 920 Winter St, Waltham, MA 02451 |
| Street Address |
817 S 13TH ST |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730294570 | Everest Healthcare Indiana, Inc. | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1396270906 | Dialysis Services of Decatur LLC | Clinic/Center | 2705 Highway 31 S, Decatur, AL 35603-1507 | 2017-04-21 |
| 1760839922 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2834 Spring Ave Sw, Decatur, AL 35603-1218 | 2016-05-18 |
| 1295108983 | Total Renal Care Inc | Clinic/Center | 2442 Wesley Chapel Rd, Decatur, GA 30035-3420 | 2015-11-04 |
| 1942672423 | Odiorne Dialysis LLC | Clinic/Center | 2460 Wesley Chapel Rd, Ste 25d, Decatur, GA 30035-3420 | 2015-10-23 |
| 1699165290 | Dsi Dekalb, LLC | Clinic/Center | 4570 Memorial Dr Ste B, Decatur, GA 30032-1444 | 2015-02-03 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1962676155 | Total Renal Care Inc | Clinic/Center | 5255 Snapfinger Park Dr Ste 115, Decatur, GA 30035-4066 | 2008-04-17 |
| 1871712927 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2721 Irvin Way, Decatur, GA 30030-1720 | 2007-04-25 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE FORT WAYNE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.