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

350 Q St
Springfield, OR 97477-2140

Phone

(541) 747-4061

Fax

(541) 747-4092

NPI assigned

Feb 10, 2014

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

James J. Divito

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FRESENIUS MEDICAL CARE EMERALD VALLEY Doing business as

Member of 1

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

• National Medical Care, Inc.

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

  Member Of

  NPD member

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1922422112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 Q ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772140",
            "telephone_number": "541-747-4061",
            "fax_number": "541-747-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 Q ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772140",
            "telephone_number": "541-747-4061",
            "fax_number": "541-747-4092"
        }
    ],
    "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": "2014-02-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "382574",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE EMERALD VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Jacob Freed
• Freedom Path Counseling LLC
• Freedom Through Choices, LLC
• Jennifer R Freeman, MD
• Michaela Buchanan French, NP
• Fresenius Medical Care Emerald Valley Home, LLC
• Tanya Fresquez, FNP-C
• Darryl Alan Freudenthaler
• Marie Helen Freyre, MASSAGE THERAPIST
• Jakob Robert Friedrich, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Springfield, OR
• Providers in Springfield, 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 Dec 23, 2020; 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.