Active NPI
Fresenius Medical Care Quad Cities, LLC
Doing business as Fresenius Medical Care Aledo
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Aledo, IL
National Provider Identifier
1629438098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE QUAD CITIES, LLC
- Doing business as
- Fresenius Medical Care Aledo
- Practice address
- 409 NW 9TH Ave
Aledo, IL 61231-1258 - Phone
- (309) 582-2227
- Fax
- (309) 582-8999
- NPI assigned
- Feb 29, 2016
- Last updated
- Aug 23, 2021
- 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
409 NW 9TH Ave
Aledo, IL 61231-1258
Mailing address
409 NW 9TH Ave
Aledo, IL 61231-1258
Phone (309) 582-2227
Other names 1
- FRESENIUS MEDICAL CARE ALEDO
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Renal Care Center (RCC) of Johnson City
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Johnson City, TN
- NPI 1215049044
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1629438098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 NW 9TH AVE",
"city": "ALEDO",
"state": "IL",
"postal_code": "612311258",
"telephone_number": "309-582-2227",
"fax_number": "309-582-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 NW 9TH AVE",
"city": "ALEDO",
"state": "IL",
"postal_code": "612311258",
"telephone_number": "309-582-2227",
"fax_number": "309-582-8999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE QUAD CITIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2016-02-29",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"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": [],
"other_names": [
{
"organization_name": "FRESENIUS MEDICAL CARE ALEDO",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Rashanda Gay, COTA-L
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- Genesis Medical Center, Aledo (MercyOne Genesis Aledo Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.