Fresenius Medical Care South Bend, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE SOUTH BEND, LLC

Doing business as

Fresenius Medical Care South Bend

Practice address

320 S Dr Martin Luther King Jr Blvd
South Bend, IN 46601-2357

Phone

(574) 246-0752

Fax

(574) 246-0759

NPI assigned

Jul 8, 2013

Last updated

Oct 18, 2023By the provider in NPPES

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

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS MEDICAL CARE SOUTH BEND Doing business as

Electronic endpoints 1

Member of 3

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

• Bio-Medical Applications of Indiana, Inc.

  dba Fresenius Medical Care Elwood

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elwood, IN
  • NPI 1538355748

  Member Of

  NPD member
• Nephrology Physicians LLC

  • Nephrology Physician
  • Mishawaka, IN
  • NPI 1518996719

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1740621689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S DR MARTIN LUTHER KING JR BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012357",
            "telephone_number": "574-246-0752",
            "fax_number": "574-246-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S DR MARTIN LUTHER KING JR BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012357",
            "telephone_number": "574-246-0752",
            "fax_number": "574-246-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE SOUTH BEND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "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": [
        {
            "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 MEDICAL CARE SOUTH BEND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Jane Freehauf, R.PH.
• Darlene June Freeman, LMHC
• Michael L Freid, DDS
• Tia French
• Natalie Joy Frentz, MD
• Jordyn Fresh
• Marilyn Friedman, LMHC
• George B Friend, M.D.
• Gary B Fromm, MD
• Joseph Frye, MS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Bend, IN
• Providers in South Bend, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.