FRESENIUS MEDICAL CARE SOUTH AIRWAYS, LLC


Address: 5484 Airways Blvd, Memphis, TN 38116-9402
Phone: 9013455755

FRESENIUS MEDICAL CARE SOUTH AIRWAYS, LLC (NPI# 1407237456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407237456
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE SOUTH AIRWAYS, LLC
Other Organization Name FRESENIUS MEDICAL CARE - SOUTH AIRWAYS
Practice Address 5484 Airways Blvd
Memphis
TN 38116-9402
Practice Telephone 9013455755
Practice Fax Number 9013455761
Mailing Telephone 9013455755
Mailing Fax Number 9013455761
Enumeration Date 2015-06-16
Last Update Date 2016-09-14
Authorized Official Name MR. MARK R FAWCETT (SENIOR VP AND TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Fresenius Medical Care - South Airways Doing Business As Name - Organization

Office Location

Street Address 5484 AIRWAYS BLVD
City MEMPHIS
State TN
Zip Code 38116-9402

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1548896715 Annie M Griffin In Home Supportive Care 1014 Cullenwood Drive, Memphis, TN 38116 2020-03-19
1144865700 Johnnie Mary Lawson Technician 5152 Schutt Rd, Memphis, TN 38116 2019-11-07
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1023580909 April Nicole Mallory Home Health Aide 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 2018-12-17
1437641941 Trinity Community Coalition Outreach Clinic/Center 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 2018-05-31
1851848386 Veronica Hudson Speech-Language Pathologist 1036 Chambliss Rd, Memphis, TN 38116 2016-09-01
1710434378 Chloe Bunch Speech-Language Pathologist 1076 Chamblee Road, Memphis, TN 38116 2016-09-01
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1114411964 Burman Dialysis LLC Clinic/Center 4031 Austin Peay Highway, Memphis, TN 38128-2503 2018-06-15
1063937241 Cahaba Dialysis, LLC Clinic/Center 2926 Lamar Ave Ste 101, Memphis, TN 38114-5614 2017-08-08
1477091767 Deschutes Dialysis LLC Clinic/Center 5247 Airways Blvd, Memphis, TN 38116-9401 2017-02-07
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1659744555 Bio-medical Applications of Tennessee, Inc. Clinic/Center 5020 English Towne Drive, Memphis, TN 38128 2015-11-02
1306258744 Wellbound of Memphis LLC Clinic/Center 780 Truse Pkwy, Suite 102, Memphis, TN 38117-5361 2014-05-20
1427469634 Satellite Healthcare Chickasaw Gardens LLC Clinic/Center 2980 Poplar Avenue, Memphis, TN 38111-5637 2014-05-12
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Competitor

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City MEMPHIS
Zip Code 38116

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Dataset Information

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.

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