Fresenius Medical Care Tuba City, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE TUBA CITY, LLC

Doing business as

FRESENIUS KIDNEY CARE TUBA CITY

Practice address

50 S Main Street
Suite 108
Tuba City, AZ 86045-0000

Phone

(928) 225-3388

Fax

(928) 851-6220

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 TUBA CITY 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": "1629676800000",
    "number": "1063028124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAIN STREET",
            "address_2": "SUITE 108",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450000",
            "telephone_number": "928-225-3388",
            "fax_number": "928-851-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAIN STREET",
            "address_2": "SUITE 108",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860450000",
            "telephone_number": "928-225-3388",
            "fax_number": "928-851-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE TUBA CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-04",
        "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 TUBA CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Franchini, MS, RDN, LD
• Angelita Mae Francis, CNA
• Kimberly June Frantz, PHARMD
• Jennifer Lou Freligh, RN
• Fresenius Medical Care Payson, LLC
• Stacey Lynn Frey, RN
• Karen S Friddell, CNM
• Jenny L Friedrich, RN
• Dorothy Laverne Fronk, R.N.
• Neferti Roneisha Fuller, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tuba City, AZ
• Providers in Tuba City, 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 23, 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.