NPIMap

Organization Active NPI

National Medical Care, Inc.

Doing business as FMC Dialysis Services of St. Augustine

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Augustine, FL
National Provider Identifier
1386739969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NATIONAL MEDICAL CARE, INC.
Doing business as
FMC Dialysis Services of St. Augustine
Practice address
1618 Osceola Elementary Road
St. Augustine, FL 32884
Phone
(904) 824-6191
Fax
(904) 824-0546
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(800) 662-1237

Specialties & licenses 1

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

Addresses

Primary practice location

1618 Osceola Elementary Road
St. Augustine, FL 32884

Mailing address

1618 Osceola Elementary Road
St. Augustine, FL 32884
Phone (904) 824-6191

Other names 1

  • FMC Dialysis Services of St. Augustine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Medical Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1618 Osceola Elementary Rd
St. Augustine, FL 32884
Phone (904) 824-6191

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386739969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 OSCEOLA ELEMENTARY ROAD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32884",
            "telephone_number": "904-824-6191",
            "fax_number": "904-824-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 OSCEOLA ELEMENTARY ROAD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32884",
            "telephone_number": "904-824-6191",
            "fax_number": "904-824-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "800-662-1237"
    },
    "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": "FMC Dialysis Services of St. Augustine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.