FRESENIUS MEDICAL CARE OTTUMWA, LLC


Address: 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884
Phone: 6416827137

FRESENIUS MEDICAL CARE OTTUMWA, LLC (NPI# 1639634207) 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) 1639634207
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE OTTUMWA, LLC
Other Organization Name FRESENIUS MEDICAL CARE OTTUMWA
Practice Address 1110 N Quincy Ave Ste 44
Ottumwa
IA 52501-3884
Practice Telephone 6416827137
Practice Fax Number 6416827138
Mailing Telephone 6416827137
Mailing Fax Number 6416827138
Enumeration Date 2019-02-07
Last Update Date 2019-03-14
Authorized Official Name MARK R FAWCETT (SVP 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 Identifier

State Issuer Identifier Type Code
IA PTAN 16-2538 01

Other Provider/Organization Names

Other Name Type Code
FRESENIUS MEDICAL CARE OTTUMWA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942817218 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 2020-09-30

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities FRESENIUS MEDICAL CARE OTTUMWA, LLC 920 Winter St., Waltham, MA 02451

Office Location

Street Address 1110 N QUINCY AVE STE 44
City OTTUMWA
State IA
Zip Code 52501-3884

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205327210 Speer Family Chiropractic, LLC Chiropractor 635 Pennsylvania Ave, Ottumwa, IA 52501 2018-05-24
1982194874 Jasmine Benson Nurse Practitioner 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 2018-05-16
1265957567 Katie Marie Walz Registered Nurse 725 W. Second St., Ottumwa, IA 52501 2017-08-08
1033648431 Cassadie Roberts Occupational Therapy Assistant 3 Pennsylvania Place, Ottumwa, IA 52501 2017-06-08
1588900880 Ottumwa Er LLC Emergency Medicine 1001 Pennsylvania Avenue, Ottumwa, IA 52501 2012-12-14
1710258009 Alcohol & Drug Dependency Services Clinic/Center 226 West Main St., Ottumwa, IA 52501 2012-01-19
1477832921 Melissa Rohrssen Physical Therapy Assistant 13 Bear Creek Estates Drive, Ottumwa, IA 52501 2011-08-15
1578855201 Brandy S.n. Jeansimon Obstetrics & Gynecology 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 2011-05-13
1801120399 Frank Sam Harper Counselor 310 W. Main St., Ottumwa, IA 52501 2009-09-30
1902078439 Sandro Younadam Internal Medicine 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 2008-03-25
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649517673 Kobuk Dialysis LLC Clinic/Center 1005 Pennsylvania Ave Ste 101, Ottumwa, IA 52501-6408 2013-01-10
1386695575 Qualicenters Sioux City, LLC Clinic/Center 1110 N Quincy Ave, Ottumwa, IA 52501-3883 2006-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942817218 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 2020-09-30
1669001038 Honeyman Dialysis LLC Clinic/Center 701 Tama St Ste 150, Marion, IA 52302-4806 2020-04-07
1588221824 Rcg Mercy Des Moines LLC Clinic/Center 9080 University Ave, West Des Moines, IA 50266-1892 2019-05-22
1245755529 Trusten Dialysis LLC Clinic/Center 1119 73rd St, Windsor Heights, IA 50324-1313 2017-08-08
1477086692 Wallips Dialysis, LLC Clinic/Center 1117 Hazel St, Pella, IA 50219-1338 2017-04-05
1821499245 Clyfee Dialysis LLC Clinic/Center 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 2014-09-05
1477980365 Honeyman Dialysis LLC Clinic/Center 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 2013-10-09
1982947792 Davis Dialysis LLC Clinic/Center 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 2013-03-29
1972843738 Geyser Dialysis LLC Clinic/Center 2625 N Ankeny Blvd, Ankeny, IA 50023 2013-02-15
1164768099 Fresenius Medical Care Cline Dialysis, LLC Clinic/Center 1040 N 18th St, Centerville, IA 52544-1118 2012-12-20
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Competitor

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City OTTUMWA
Zip Code 52501

Improve Information

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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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