NPIMap

Organization Active NPI

Fresenius Medical Care Payson, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tuba City, AZ
National Provider Identifier
1528665643
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE PAYSON, LLC
Doing business as
FRESENIUS KIDNEY CARE TUBA CITY
Practice address
50 S. Main Street
Suite 108
Tuba City, AZ 86045
Phone
(928) 851-6220
Fax
(928) 225-3388
NPI assigned
Oct 1, 2020
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
James Divito
Title
VP
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

50 S. Main Street
Suite 108
Tuba City, AZ 86045

Mailing address

50 S. Main Street
Suite 108
Tuba City, AZ 86045
Phone (928) 851-6220

Other names 1

  • FRESENIUS KIDNEY CARE TUBA CITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fresenius Kidney Care Payson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1528665643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S. MAIN STREET",
            "address_2": "SUITE 108",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-851-6220",
            "fax_number": "928-225-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S. MAIN STREET",
            "address_2": "SUITE 108",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-851-6220",
            "fax_number": "928-225-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE PAYSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS. INC.",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP",
        "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": "FRESENIUS KIDNEY CARE TUBA CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuba City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.