Fresenius Medical Care Yuma, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE YUMA, LLC

Doing business as

FRESENIUS KIDNEY CARE YUMA

Practice address

1200 S Castle Dome Ave Ste C
Yuma, AZ 85365-5305

Phone

(928) 257-3737

Fax

(928) 977-2035

NPI assigned

Sep 23, 2020

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS KIDNEY CARE YUMA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1043826191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S CASTLE DOME AVE STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853655305",
            "telephone_number": "928-257-3737",
            "fax_number": "928-977-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CASTLE DOME AVE STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853655305",
            "telephone_number": "928-257-3737",
            "fax_number": "928-977-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE YUMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE YUMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitch Freeman, M.D.
• Richard Michael Freimuth, DDS
• John C. French, MD PHD
• Ryan French, RN
• Fresenius Medical Care Payson, LLC
• Rachel Amanda Fry, PA-C
• Jordan Frye, PA-C
• Tomasz Sebastian Gregory Fudalewski, MD
• Jacqueline Fuentes Camacho, NP
• Steven Charles Funk, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.