ST. LOUIS REGIONAL DIALYSIS CENTER, INC.


Address: 10951 Saint Charles Rock Rd, Saint Ann, MO 63074-1505
Phone: 3147397339

ST. LOUIS REGIONAL DIALYSIS CENTER, INC. (NPI# 1922110808) 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) 1922110808
Entity Type Organization
Organization Name ST. LOUIS REGIONAL DIALYSIS CENTER, INC.
Other Organization Name BMA ST. LOUIS
Practice Address 10951 Saint Charles Rock Rd
Saint Ann
MO 63074-1505
Practice Telephone 3147397339
Enumeration Date 2006-08-31
Last Update Date 2007-12-09
Authorized Official Name MARK FAWCETT (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
BMA ST. LOUIS Doing Business As Name - Organization

Office Location

Street Address 10951 SAINT CHARLES ROCK RD
City SAINT ANN
State MO
Zip Code 63074-1505

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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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1285109041 Branson Kidney Center LLC Clinic/Center 17829 Bus 13, Branson West, MO 65737 2018-10-09
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1851892731 Sparda Dialysis LLC Clinic/Center 40 Walters Pl, House Springs, MO 63051-1491 2018-02-26
1063923753 Isd Renal Inc Clinic/Center 1702 E 10th St Ste C, Rolla, MO 65401-4600 2017-10-20
1063923977 Total Renal Care Inc Clinic/Center 802 Jules St, St Joseph, MO 64501-1944 2017-10-18
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Competitor

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City SAINT ANN
Zip Code 63074

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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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