NPIMap

Organization Active NPI

Fresenius Medical Care Payson, LLC

Doing business as Fresenius Kidney Care Payson

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Payson, AZ
National Provider Identifier
1992312870
Registry record updated Sep 2, 2021
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 PAYSON, LLC
Doing business as
Fresenius Kidney Care Payson
Practice address
114 E State Highway 260
Payson, AZ 85541-4925
Phone
(928) 517-3000
Fax
(928) 813-6216
NPI assigned
Sep 25, 2020
Last updated
Sep 2, 2021By 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 Sep 2, 2021

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

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

Addresses

Primary practice location

114 E State Highway 260
Payson, AZ 85541-4925

Mailing address

114 E State Highway 260
Payson, AZ 85541-4925
Phone (928) 517-3000

Other names 1

  • FRESENIUS KIDNEY CARE PAYSON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fresenius Kidney Care Payson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1992312870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E STATE HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414925",
            "telephone_number": "928-517-3000",
            "fax_number": "928-813-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E STATE HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414925",
            "telephone_number": "928-517-3000",
            "fax_number": "928-813-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE PAYSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "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": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE PAYSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.