FRESENIUS MEDICAL CARE DIALYSIS SERVICES OREGON, LLC (NPI# 1184906208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184906208 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE DIALYSIS SERVICES OREGON, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE CORVALLIS |
| Practice Address |
3580 Nw Samaritan Dr Corvallis OR 97330-3766 |
| Practice Telephone | 5417685182 |
| Practice Fax Number | 5417685183 |
| Mailing Telephone | 5417685182 |
| Mailing Fax Number | 5417685183 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | MARK R. FAWCETT (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 Corvallis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821342825 | Fresenius Medical Care Dialysis Services Oregon, LLC | Clinic/Center | 1213 S. Main Street, Milton Freewater, OR 97862-1537 | 2012-10-30 |
| 1982985388 | Fresenius Medical Care Dialysis Services Oregon, LLC | Clinic/Center | 665 N 5th St, Lebanon, OR 97355-2875 | 2011-08-30 |
| 1598046997 | Fresenius Medical Care Dialysis Services Oregon, LLC | Clinic/Center | 957 Sw Coast Hwy, Newport, OR 97365-5143 | 2011-08-30 |
| Street Address |
3580 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053528059 | Kimberly Jo Magers | Speech-Language Pathologist | 3580 Nw Samaritan Dr, Physical Rehab, Corvallis, OR 97330 | 2007-05-17 |
| 1811347677 | Stacy Mosbrucker | Physical Therapy Assistant | 3580 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2016-06-13 |
| 1326448747 | Bruce Coy | Physical Therapist | 3580 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2014-09-04 |
| 1104172089 | Joshua A Funk | Physical Therapist | 3580 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2012-07-30 |
| 1427315852 | Patricia Yelsa | Physical Therapist | 3580 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2012-04-23 |
| 1558591768 | Ashley Ellen Riggs | Physical Therapist | 3580 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1376691436 | Samaritan Dialysis Services LLC | Clinic/Center | 3580 Nw Samaritan Drive, Corvallis, OR 97330 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652569 | Harpett Dialysis, LLC | Clinic/Center | 61280 Se Coombs Pl, Bend, OR 97702-3704 | 2019-04-10 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1528529989 | Pacific Dialysis LLC | Clinic/Center | 1935 Thompson Rd, Coos Bay, OR 97420-2040 | 2019-03-28 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
| 1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
| 1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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| 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.