Organization Active NPI

National Medical Care Inc

Doing business as Neomedica MELROSE PARK

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1447365200
Registry record updated Aug 10, 2009
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
Neomedica MELROSE PARK
Practice address
1111 Superior St
Suite 204
Melrose Park, IL 60160-4156
Phone
(708) 338-1780
Fax
(708) 338-1790
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1111 Superior St
Suite 204
Melrose Park, IL 60160-4156

Mailing address

1111 Superior St
Suite 204
Melrose Park, IL 60160-4156
Phone (708) 338-1780

Other names 1

  • Neomedica MELROSE PARK Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1447365200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 204",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604156",
            "telephone_number": "708-338-1780",
            "fax_number": "708-338-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 204",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604156",
            "telephone_number": "708-338-1780",
            "fax_number": "708-338-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-08-10",
        "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"
    },
    "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": "Neomedica MELROSE PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.