Organization Active NPI

Fresenius Medical Care Comprehensive CKD Services Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Whitehall, PA
National Provider Identifier
1245408681
Registry record updated Nov 21, 2008
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
Practice address
601 8TH St
CKD Services of Fullerton
Whitehall, PA 18052-5701
Phone
(610) 266-5811
Fax
(610) 266-5815
NPI assigned
Feb 20, 2008
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Mark Fawcett
Title
Vice President, Treasurer
Phone
(781) 699-2668

Specialties & licenses 1

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

Addresses

Primary practice location

601 8TH St
CKD Services of Fullerton
Whitehall, PA 18052-5701

Mailing address

920 Winter St
Fmcna CKD Services 3W-16
Waltham, MA 02451-1521
Phone (781) 699-4160

Other names 1

  • CKD Services of Fullerton Doing business as

National Provider Directory

National Provider Directory

Locations

601 8th St
Whitehall, PA 18052
Phone (610) 264-4865

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1245408681",
    "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": "601 8TH ST",
            "address_2": "CKD SERVICES OF FULLERTON",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525701",
            "telephone_number": "610-266-5811",
            "fax_number": "610-266-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS INC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CKD Services of Fullerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.