Active NPI
Bio-Medical Applications of Arizona, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sierra Vista, AZ
National Provider Identifier
1508370404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC
- Practice address
- 5555 Mesa Verde Dr Ste 120
Sierra Vista, AZ 85635-4311 - Phone
- (520) 458-4490
- Fax
- (520) 458-4977
- NPI assigned
- Nov 30, 2017
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
5555 Mesa Verde Dr Ste 120
Sierra Vista, AZ 85635-4311
Mailing address
5555 Mesa Verde Dr Ste 120
Sierra Vista, AZ 85635-4311
Phone (520) 458-4490
Other names 1
- FRESENIUS KIDNEY CARE CANYON VISTA
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- 032654-Fresenius Kidney Care Canyon Vista
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 1, 2019
- Medicare certification status
- Terminated Voluntary: merger or closure, May 1, 2026
- Chain
- Fresenius Medical Care
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, DE
- NPI 1679677546
Member Of
Locations
5555 Mesa Verde Dr
Sierra Vista, AZ 85635
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1508370404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 MESA VERDE DR STE 120",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354311",
"telephone_number": "520-458-4490",
"fax_number": "520-458-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 MESA VERDE DR STE 120",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856354311",
"telephone_number": "520-458-4490",
"fax_number": "520-458-4977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-MEDICAL APPLICATIONS OF ARIZONA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2017-11-30",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"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": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FRESENIUS KIDNEY CARE CANYON VISTA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FRESENIUS KIDNEY CARE CANYON VISTA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.