Four State Regional Dialysis Center, Inc.

Primary specialty

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

Legal business name

FOUR STATE REGIONAL DIALYSIS CENTER, INC.

Doing business as

Fresenius Medical Care Joplin West

Practice address

1800 W 30TH St
Joplin, MO 64804-1520

Phone

(417) 782-2055

NPI assigned

Aug 31, 2006

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Joplin West Doing business as

Tax ID family

Osteoporosis Detection8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Renal Care Group of the Midwest, Inc.

  dba Renal Care Group Nixa

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nixa, MO
  • NPI 1073673471
  NPD tax ID
• Renal Care Group of the Midwest, Inc.

  dba Renal Care of Poplar Bluff

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Poplar Bluff, MO
  • NPI 1114039088
  NPD tax ID
• Renal Care Group of the Midwest, Inc.

  dba Renal Care Group Southeast Missouri

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cape Girardeau, MO
  • NPI 1245273085
  NPD tax ID
• Miami Regional Dialysis Center, Inc.

  dba Fresenius Medical Care Miami Midwest

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, OK
  • NPI 1831201706
  NPD tax ID
• Renal Care Group Midwest, Inc.

  dba Fresenius Medical Care Omaha West

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1164963070
  NPD tax ID
• Renal Care Group of the Midwest, Inc.

  dba Renal Care Group Arkansas City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Arkansas City, KS
  • NPI 1295840015
  NPD tax ID
• Renal Care Group of the Midwest, Inc.

  dba Fresenius Kidney Care Omaha West

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1932644127
  NPD tax ID

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1902918808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 30TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 30TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041520",
            "telephone_number": "417-782-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STATE REGIONAL DIALYSIS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "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 Joplin West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua J Foster
• Julia L Foster, NP
• Christopher Michael Foth, DO
• Four Corners Healthcare Inc.
• Four State Regional Dialysis Center, Inc. (Fresenius Medical Care Joplin East)
• Four States Anesthesia Services LLC
• Four States Hearing Center LLC
• Four States Pain Relief Institute, LLC (4 Corners Pain Relief Institute, LLC)
• Four States Surgery Center, PC (Four States Surgery Center,)
• Becky Fowkes

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.