FRESENIUS MEDICAL CARE FORT WAYNE, LLC (NPI# 1306267257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306267257 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE FORT WAYNE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE HUNTINGTON |
| Practice Address |
2859 Northpark Ave Suite 112 Huntington IN 46750-7964 |
| Practice Telephone | 2603550510 |
| Practice Fax Number | 2603550520 |
| Mailing Telephone | 2603550510 |
| Mailing Fax Number | 2603550520 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| 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 Huntington | 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 |
| 1104247154 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 817 S 13th St, Decatur, IN 46733-1891 | 2013-12-18 |
| 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 |
| Ohio Business Entities | FRESENIUS MEDICAL CARE FORT WAYNE, LLC | 920 Winter Street, Waltham, MA 02451 |
| Street Address |
2859 NORTHPARK AVE SUITE 112 |
| City | HUNTINGTON |
| State | IN |
| Zip Code | 46750-7964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942315791 | Rcg Indiana LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
| 1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
| 1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
| 1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
| 1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
| 1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
| 1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
| 1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
| 1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
| 1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
| Find all providers in zip 46750 | ||||
| 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 |
|---|---|---|---|---|
| 1457755431 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1500 17th St, Huntington, WV 25701-3956 | 2014-10-20 |
| 1962643809 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1690 Medical Center Dr., Huntington, WV 25701-3800 | 2009-03-23 |
| 1942315791 | Rcg Indiana LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2006-08-20 |
| 1114972353 | Isd Renal Inc | Clinic/Center | 3040 W Park Dr, Huntington, IN 46750-8956 | 2006-05-24 |
| 1437489432 | Fresenius Medical Care Himg Dialysis Center, LLC | Clinic/Center | 5170 Us Route 60 E, Huntington, WV 25705-2065 | 2010-01-13 |
| 1922283480 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743 | 2008-01-03 |
| 1316069701 | Grayson Dialysis and Kidney Center | Clinic/Center | 1656 13th Ave, Huntington, WV 25701-3829 | 2007-04-04 |
| 1134289234 | Carillon Dialysis, LLC | Clinic/Center | 830 Park Ave, Huntington, NY 11743-4543 | 2006-12-11 |
| 1740359256 | Cabell Huntington Hospital Inc | Clinic/Center | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2006-11-07 |
| 1508845322 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743-2787 | 2006-01-11 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 46750 |
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.