Fresenius Medical Care Mechanicsburg Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE MECHANICSBURG DIALYSIS, LLC

Doing business as

Fresenius Kidney Care Mechanicsburg

Practice address

120 S Filbert St
Mechanicsburg, PA 17055-6593

Phone

(717) 790-6080

Fax

(717) 790-6081

NPI assigned

Aug 12, 2021

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L Blanton

Title

VP

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Kidney Care Mechanicsburg Doing business as

Electronic endpoints 1

Listed as

zzz closed FKC MechanicsburgCCN 392691

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 14, 2002

Medicare certification status

Terminated Voluntary: merger or closure, Apr 1, 2026From the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

17

Member of 1

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

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ghansham Das, MD

  • Nephrology Physician
  • Camp Hill, PA
  • NPI 1831741529

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1649945585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S FILBERT ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556593",
            "telephone_number": "717-790-6080",
            "fax_number": "717-790-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S FILBERT ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556593",
            "telephone_number": "717-790-6080",
            "fax_number": "717-790-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE MECHANICSBURG DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L",
        "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": [
        {
            "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 Mechanicsburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresenius Kidney Care Mechanicsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamarra Francis
• Christina Ann Franklin, PTA
• Brittany Franze, MOTR/L
• David Joseph Freeman, MD, MS, NRP
• Freeway Movers LLC
• Denae Frey
• Joann L. Frey, DDS
• Nicole Elizabeth Frey, D.P.T.
• Larisa Buyantseva Fritz, MD
• Eric Fritzges

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.