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).
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. |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | PTAN | 16-2538 | 01 |
Other Name | Type Code |
---|---|
FRESENIUS MEDICAL CARE OTTUMWA | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | FRESENIUS MEDICAL CARE OTTUMWA, LLC | 920 Winter St., Waltham, MA 02451 |
Street Address |
1110 N QUINCY AVE STE 44 |
City | OTTUMWA |
State | IA |
Zip Code | 52501-3884 |
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 |
Find all providers in zip 52501 |
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 |
---|---|---|---|---|
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 |
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 |
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.