Bio-Medical Applications of Missouri, Inc.
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Richmond, MO
NPI 1619089414 · NPPES record last updated Oct 14, 2023
Key facts
- NPI
- 1619089414
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
- Practice address
- 910 Stonner Loop
Richmond, MO 64085-2194 - Phone
- (816) 776-2777
- Fax
- (816) 776-3307
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Other NPIs with the same Medicare PAC ID 19
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030925000013 | MO | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 2062329030 | Practice locations: Richmond, MO |
National Provider Directory
Locations
910 Stonner Loop
Richmond, MO 64085
Phone (816) 776-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
910 Stonner Loop
Richmond, MO 64085-2194
Mailing address
910 Stonner Loop
Richmond, MO 64085-2194
Phone (816) 776-2777
Other names
- FMC LETHOLT DIALYSIS CENTER
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Richmond, MO
All providers in Richmond, MO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.