Qualicenters Sioux City, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

QUALICENTERS SIOUX CITY, LLC

Doing business as

Fresenius Medical Care Ottumwa

Practice address

1110 N Quincy Ave
Ottumwa, IA 52501-3883

Phone

(641) 682-7137

Fax

(641) 682-7138

NPI assigned

May 13, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Ottumwa Doing business as

Member of 2

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

• Qualicenters Sioux City, LLC

  dba Siouxland Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sioux City, IA
  • NPI 1609981448

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1386695575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N QUINCY AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013883",
            "telephone_number": "641-682-7137",
            "fax_number": "641-682-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N QUINCY AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013883",
            "telephone_number": "641-682-7137",
            "fax_number": "641-682-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICENTERS SIOUX CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-08-07",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Ottumwa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taniya Pradhan, M.D.
• Prairie Hills at Ottumwa Operations LLC
• Cathy Pringle-Maletta, CADC
• Elizabeth A Proctor
• Psychology Services of Ottumwa LLC
• Paul S Quentzel, MD
• Brian Quinn, DO
• R. Ian Campbell D.D.S, PLLC
• Theresa C Rachele, TCADC
• Radiation Oncology PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.