NPIMap

Organization Active NPI

Bio-Medical Applications of South Carolina, Inc.

Doing business as Anderson Dialysis Clinic

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anderson, SC
National Provider Identifier
1619994332
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
ERD-105 Issued in SC
Legal business name
BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
Doing business as
Anderson Dialysis Clinic
Practice address
416 E Calhoun St
Anderson, SC 29621-5800
Phone
(864) 224-1678
Fax
(864) 224-2830
NPI assigned
Jul 17, 2006
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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 ERD-105 SC Primary

Addresses

Primary practice location

416 E Calhoun St
Anderson, SC 29621-5800

Mailing address

416 E Calhoun St
Anderson, SC 29621-5800
Phone (864) 224-1678

Other identifiers 1

IdentifierTypeStateIssuer
422506MedicaidSC

Other names 1

  • Anderson Dialysis Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1619994332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E CALHOUN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215800",
            "telephone_number": "864-224-1678",
            "fax_number": "864-224-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E CALHOUN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215800",
            "telephone_number": "864-224-1678",
            "fax_number": "864-224-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-29",
        "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": "SC",
            "license": "ERD-105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422506",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.