Fresenius Medical Care Dialysis Services - Oregon, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Florence, OR
NPI 1669712733 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1669712733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- FRESENIUS MEDICAL CARE DIALYSIS SERVICES - OREGON, LLC
- Practice address
- 2820 Kingwood St
Florence, OR 97439-9555 - Phone
- (541) 997-1136
- Fax
- (541) 997-1316
- NPI assigned
- Feb 26, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 8
Member of 2
Practitioners 1
-
Alicia Evans, RD, LD, CSR
Affiliated clinicians 2
-
William G. Gutheim, M.D.
-
Charles R. Zachem, D.O.
Medicare Care Compare: Dialysis facility
- Listed as
- FMC Florence Oregon
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Jun 24, 2013
- Medicare certification status
- Active
- Chain
- Fresenius Medical Care
- Dialysis stations
- 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2054646 | Fresenius Medical Care Florence Oregon | Certificate of waiver | Feb 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130402000524 | OR | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 1759298524 | Practice locations: Florence, OR |
National Provider Directory
- Tax ID family
- Fresenius Medical Care Dialysis Services - Oregon LLC
Locations
2820 Kingwood St
Florence, OR 97439
Phone (541) 997-1136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | OR | Yes |
Addresses
Primary practice location
2820 Kingwood St
Florence, OR 97439-9555
Mailing address
2820 Kingwood St
Florence, OR 97439-9555
Phone (541) 997-1136
Other names
- FRESENIUS MEDICAL CARE FLORENCE OREGON
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
NPI Registry JSON
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1669712733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 KINGWOOD ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399555",
"telephone_number": "541-997-1136",
"fax_number": "541-997-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 KINGWOOD ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399555",
"telephone_number": "541-997-1136",
"fax_number": "541-997-1316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE DIALYSIS SERVICES - OREGON, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2013-02-26",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-676-5200"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FRESENIUS MEDICAL CARE FLORENCE OREGON",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Florence, OR · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.