Fresenius Medical Care Dialysis Services - Oregon, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE DIALYSIS SERVICES - OREGON, LLC

Practice address

1213 S Main St
Milton Freewater, OR 97862-1537

Phone

(541) 938-6036

Fax

(541) 938-6150

NPI assigned

Oct 30, 2012

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

• FMC MILTON FREEWATER Doing business as

Electronic endpoints 1

Member of 2

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

• Fresenius Medical Care Dialysis Services - Oregon, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Redmond, OR
  • NPI 1306943790

  Member Of

  NPD member
• National Medical Care, Inc.

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

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1821342825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 S MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621537",
            "telephone_number": "541-938-6036",
            "fax_number": "541-938-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 S MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621537",
            "telephone_number": "541-938-6036",
            "fax_number": "541-938-6150"
        }
    ],
    "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": "2012-10-30",
        "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": "OR",
            "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": "FMC MILTON FREEWATER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dinah Estraza Estrellanes, PT
• Evergreen Oregon Healthcare Orchards Rehabilitation, L.L.C.
• Evergreen Oregon Healthcare Orchards Retirement, L.L.C.
• Fire Inc
• Virginia Foreman, SLP
• Scott T Fry, M.D.
• Michael Lane Garton, O. D.
• Kimberly Ann Glover, RDH
• Taylor Rae Hamby, DMD
• Lance B. Hatch, D.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• 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.