NPIMap

Fresenius Medical Care Centracare Dialysis, LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Princeton, MN

NPI 1194490045 · NPPES record last updated Aug 28, 2026

Key facts

NPI
1194490045
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE CENTRACARE DIALYSIS, LLC
Practice address
112 S Rum River Dr Ste 220
Princeton, MN 55371-1816
Phone
(763) 389-7969
NPI assigned
Aug 12, 2021
Organization subpart
Yes
Parent organization (as reported)
FRESENIUS MEDICAL CARE HOLDINGS, INC.

Authorized official

Name
Denise Wright
Title
Vice President
Phone
(781) 676-5200

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Dialysis facility

Listed as
Fresenius Kidney Care Rum River CCN 242617
Overall star rating
★★★★☆ 4.0 of 5
Ownership
Profit
Certified
Sep 1, 2021
Medicare certification status
Active (Provider of Services file)
Chain
Fresenius Medical Care
Dialysis stations
9

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1097836Fresenius Kidney Care Rum River
112 S Rum River Drive, Suite 220, Princeton, MN 55371		Certificate of waiverApr 2, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211025001198 MN Part a Provider - End-Stage Renal Disease Facility (ESRD) 1951799949 Practice locations: Princeton, MN

National Provider Directory

Tax ID family
Ability Network (13 organizations share this tax ID)

Locations

112 S Rum River Dr
Ste 220
Princeton, MN 55371
Phone (763) 389-7969

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

112 S Rum River Dr Ste 220
Princeton, MN 55371-1816

Mailing address

112 S Rum River Dr Ste 220
Princeton, MN 55371-1816
Phone (763) 389-7969

Other names

  • Fresenius Kidney Care Rum River Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Princeton, MN

All providers in Princeton, MN · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.