Organization Active NPI

Bio-Medical Applications of Mississippi, Inc.

Doing business as Fresenius Medical Care Kemper County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • De Kalb, MS
National Provider Identifier
1376978551
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.
Doing business as
Fresenius Medical Care Kemper County
Practice address
30 Ponderosa Avenue
Dekalb, MS 39328
Phone
(601) 743-4565
Fax
(601) 743-5473
NPI assigned
Sep 6, 2013
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mr. Mark R Fawcett
Title
Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

30 Ponderosa Avenue
Dekalb, MS 39328

Mailing address

30 Ponderosa Avenue
Dekalb, MS 39328
Phone (601) 743-4565

Other names 1

  • Fresenius Medical Care Kemper County Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

30 Ponderosa Ave
De Kalb, MS 39328
Phone (601) 743-4565

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1376978551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PONDEROSA AVENUE",
            "city": "DEKALB",
            "state": "MS",
            "postal_code": "39328",
            "telephone_number": "601-743-4565",
            "fax_number": "601-743-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PONDEROSA AVENUE",
            "city": "DEKALB",
            "state": "MS",
            "postal_code": "39328",
            "telephone_number": "601-743-4565",
            "fax_number": "601-743-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF MISSISSIPPI, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Kemper County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Kalb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.