Organization 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
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DR9229OtherHIRR MEDICARE

Other names 1

  • Ola Kino Comprehensive CKD Services Doing business as

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.

Verify at the official NPI Registry.