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FRESENIUS MEDICAL CARE INDIANA, LLC

Ambulatory Health Care Facilities Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Provider NPI: 1962943019

Organization Information:
Organization Name:  FRESENIUS MEDICAL CARE INDIANA, LLC
Organization is Subpart
Authorized Official:  MARK R FAWCETT  SENIOR VP & TREASURER  781-699-9000

Practice Location:
6826 MADISON AVE  INDIANAPOLIS, IN 46227 US
Tel: 317-791-8362  Fax: 317-791-8799

Business Mailing Address:
6826 MADISON AVE  INDIANAPOLIS, IN 46227-5000 US
Tel: 317-791-8362  Fax: 317-791-8799

NPI Information:
NPI: 1962943019
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QE0700XAmbulatory Health Care Facilities
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QE0700X

Type:

Classification:



Definition:



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