Active NPI
National Medical Care, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Evergreen Park, IL
National Provider Identifier
1265540181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- NATIONAL MEDICAL CARE, INC.
- Practice address
- 9730 S Western Avenue
Evergreen Park, IL 60805-2814 - Phone
- (708) 423-8833
- NPI assigned
- Aug 29, 2006
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, 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
- Treasurer
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
9730 S Western Avenue
Evergreen Park, IL 60805-2814
Mailing address
9730 S Western Avenue
Evergreen Park, IL 60805-2814
Other names 1
- EVERGREEN PARK DIALYSIS
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1265540181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVENUE",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVENUE",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052814",
"telephone_number": "708-423-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL MEDICAL CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-08-29",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-699-9000"
},
"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": "EVERGREEN PARK DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.