NPIMap

Organization Active NPI

Fresenius Medical Care Tulsa, LLC

Doing business as Fresenius Medical Care Henryetta

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Henryetta, OK
National Provider Identifier
1912346255
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE TULSA, LLC
Doing business as
Fresenius Medical Care Henryetta
Practice address
2405 W Main St
Henryetta, OK 74437-3893
Phone
(918) 652-4418
Fax
(918) 650-9746
NPI assigned
Jun 20, 2013
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Mark R. Fawcett
Title
VP and Treaurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2405 W Main St
Henryetta, OK 74437-3893

Mailing address

2405 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-4418

Other names 1

  • Fresenius Medical Care Henryetta Doing business as

National Provider Directory

National Provider Directory

Member of 3

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

Locations

2405 W Main St
Henryetta, OK 74437
Phone (918) 650-1180

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1912346255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-652-4418",
            "fax_number": "918-650-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-652-4418",
            "fax_number": "918-650-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE TULSA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VP AND TREAURER",
        "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 Henryetta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henryetta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.