FMS Kentwood LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kentwood, MI
NPI 1245658145 · NPPES record last updated Aug 29, 2026
Key facts
- NPI
- 1245658145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- FMS KENTWOOD LLC
- Practice address
- 4300 Callender Dr. SE
Kentwood, MI 49508-8771 - Phone
- (616) 454-1051
- Fax
- (616) 451-1061
- NPI assigned
- Mar 29, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Member of 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140616002197 | MI | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 5890919799 | Practice locations: Kentwood, MI |
National Provider Directory
Locations
4340 Callander Dr SE
Ste 100
Grand Rapids, MI 49508
4300 Callander Dr SE
Kentwood, MI 49508
Phone (616) 454-1051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | MI | Yes |
Addresses
Primary practice location
4300 Callender Dr. SE
Kentwood, MI 49508-8771
Mailing address
4300 Callender Dr. SE
Kentwood, MI 49508-8771
Phone (616) 454-1051
Other names
- Fresenius Medical Care Kentwood
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Kentwood, MI
- Gregory L Flentje
- Morgan Marie Flickema
- Flourishing Oak Therapy LLC
- Dierdra Dee Flourry-Rembert
- Jamari Miguel Flowers
- Allison Jean Ford
- Allen James Fox
- Philip S Fox
- Tori Renea Francis
- Crystal Franklin
All providers in Kentwood, MI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.