FRESENIUS MEDICAL CARE DIALYSIS SERVICES-OREGON, LLC (NPI# 1376799957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376799957 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE DIALYSIS SERVICES-OREGON, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE WEST SALEM |
| Practice Address |
1060 2nd St Nw Salem OR 97304 |
| Practice Telephone | 5033636065 |
| Practice Fax Number | 5035853523 |
| Mailing Telephone | 5033636065 |
| Mailing Fax Number | 5035853523 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | MARK 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 West Salem | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306943790 | Fresenius Medical Care Dialysis Services-oregon, LLC | Clinic/Center | 916 Sw 17th St Ste 100, Redmond, OR 97756-2572 | 2006-09-20 |
| 1073625877 | Fresenius Medical Care Dialysis Services-oregon, LLC | Clinic/Center | 23335 Se Stark Street, Gresham, OR 97080-8014 | 2006-08-31 |
| Street Address |
1060 2ND ST NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
| 1215485883 | Belmont Dialysis LLC | Clinic/Center | 3737 W Main St Ste 103, Salem, VA 24153-2073 | 2016-09-13 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| 1891120812 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 19 Keewaydin Dr Ste A, Salem, NH 03079-4891 | 2013-09-10 |
| 1194066878 | Total Renal Care Inc | Clinic/Center | 4792 Portland Rd Ne, Salem, OR 97305-3920 | 2013-03-06 |
| 1942531843 | Renal Care Group Eastern Ohio, LLC | Clinic/Center | 2345 E Pershing St, Salem, OH 44460-3400 | 2010-01-18 |
| 1376784579 | New Springs Dialysis LLC | Clinic/Center | 1201 N Jim Day Rd, Ste 103, Salem, IN 47167-7219 | 2009-03-18 |
| 1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
| Find all providers in SALEM | ||||
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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.