Fresenius Kidney Care American Dialysis, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Saint Petersburg, FL. Organization (NPI-2).
Details
- NPI
- 1669911343
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresenius Kidney Care American Dialysis, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 15, 2017
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Fresenius Kidney Care St. Petersburg (Doing Business As)
Practice location
446 4th St SSaint Petersburg, FL 33701-4603
Phone 727-896-5500 · Fax 727-898-5317
Mailing address
446 4th St SSaint Petersburg, FL 33701-4603
Phone 727-896-5500 · Fax 727-898-5317
Authorized official
Barry L. Blanton
Vice President
7816999000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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