Active NPI
Fresenius Medical Care Comprehensive CKD Services Inc
Doing business as Ola Kino Comprehensive CKD Services
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Honolulu, HI
National Provider Identifier
1083882641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
- Doing business as
- Ola Kino Comprehensive CKD Services
- Practice address
- 500 Ala Moana Blvd BLDG 7
Suite 302
Honolulu, HI 96813-4920 - Phone
- (808) 537-1100
- Fax
- (808) 440-4827
- NPI assigned
- Feb 18, 2008
- Last updated
- Feb 1, 2013
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Fawcett
- Title
- Vice President
- Phone
- (781) 699-2668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd BLDG 7
Suite 302
Honolulu, HI 96813-4920
Mailing address
920 Winter St
Fmcna CKD Services 3W-16
Waltham, MA 02451-1521
Phone (781) 699-4160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR9229 | Other | HI | RR MEDICARE |
Other names 1
- Ola Kino Comprehensive CKD Services
National Provider Directory
National Provider Directory- Part of
- Fresenius Med Care Comp CKD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1083882641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WINTER ST",
"address_2": "FMCNA CKD SERVICES 3W-16",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511521",
"telephone_number": "781-699-4160",
"fax_number": "781-699-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD BLDG 7",
"address_2": "SUITE 302",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-537-1100",
"fax_number": "808-440-4827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
"enumeration_date": "2008-02-18",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-2668"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DR9229",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ola Kino Comprehensive CKD Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.