NPIMap

Organization Active NPI

West Palm Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1295752095
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WEST PALM DIALYSIS, LLC
Doing business as
Renal Care Group, West Palm
Practice address
1522 N Dixie Hwy
West Pal Dialysis, LLC - CKD Services
West Palm Beach, FL 33401-2720
Phone
(561) 833-5355
Fax
(561) 833-9193
NPI assigned
Jul 16, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Mark Fawcett
Title
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

1522 N Dixie Hwy
West Pal Dialysis, LLC - CKD Services
West Palm Beach, FL 33401-2720

Mailing address

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

Other names 1

  • Renal Care Group, West Palm Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renal Care Group West Palm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1295752095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTER ST",
            "address_2": "FMCNA CKD SERVICES",
            "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": "1522 N DIXIE HWY",
            "address_2": "WEST PAL DIALYSIS, LLC - CKD SERVICES",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012720",
            "telephone_number": "561-833-5355",
            "fax_number": "561-833-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-2668",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Renal Care Group, West Palm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.