Bio-Medical Applications of New Hampshire, Inc.

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

NPI 1306107479 · NPPES record last updated Aug 29, 2026

Key facts

NPI
1306107479
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.
Practice address
21B Poliquin Dr
Conway, NH 03818-5802
Phone
(603) 447-3976
Fax
(603) 447-3944
NPI assigned
Jun 5, 2012
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 14

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

Corporate family (same tax ID) 14

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

Member of 1

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

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
30D2042771Mt Washington Valley Dialysis Center
21B Poliquin Dr, Conway, NH 03818
Certificate of waiverJun 19, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121009000219 NH Part a Provider - End-Stage Renal Disease Facility (ESRD) 1759301955 Practice locations: Conway, NH

National Provider Directory

Tax ID family
Ability Network (15 organizations share this tax ID)

Locations

21B Poliquin Dr
Conway, NH 03818
Phone (603) 447-3976

Specialties & licenses

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

Addresses

Primary practice location

21B Poliquin Dr
Conway, NH 03818-5802

Mailing address

21B Poliquin Dr
Conway, NH 03818-5802
Phone (603) 447-3976

Other names

  • MT. WASHINGTON VALLEY DIALYSIS CENTER 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 Conway, NH

All providers in Conway, NH · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Hampshire

Sources for this page

Verify at the official NPI Registry.