FRESENIUS MEDICAL CARE PAYSON, LLC


Address: 50 S. Main Street, Suite 108, Tuba City, AZ 86045
Phone: 9288516220

FRESENIUS MEDICAL CARE PAYSON, LLC (NPI# 1528665643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528665643
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE PAYSON, LLC
Practice Address 50 S. Main Street
Suite 108
Tuba City
AZ 86045
Practice Telephone 9288516220
Practice Fax Number 9282253388
Mailing Telephone 9288516220
Mailing Fax Number 9282253388
Enumeration Date 2020-10-01
Last Update Date 2020-10-01
Authorized Official Name JAMES DIVITO (VP)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS. INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FRESENIUS KIDNEY CARE TUBA CITY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700483922 Fresenius Medical Care Payson, LLC Clinic/Center 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 2020-10-01
1992312870 Fresenius Medical Care Payson, LLC Clinic/Center 114 E. Highway 260, Payson, AZ 85541 2020-09-25

Office Location

Street Address 50 S. MAIN STREET
SUITE 108
City TUBA CITY
State AZ
Zip Code 86045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063028124 Fresenius Medical Care Tuba City, LLC Clinic/Center 50 S. Main Street, Ste 108, Tuba City, AZ 86045 2020-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205434206 Ambrielle Grace Begay Specialist/Technologist 48 Turquoise Drive, Tuba City, AZ 86045 2020-10-12
1609422484 Rebekah Lee Pharmacist 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 2019-08-16
1861977050 Kyle C Nguyen Pharmacist 3008 E. Birch Ave, Tuba City, AZ 86045 2018-10-03
1518419845 John Glenn Ives Pharmacist 167 N, Main St, Tuba City, AZ 86045 2016-11-03
1497208433 Toweringrock Non-emergency Medical Transport, LLC Non-emergency Medical Transport (VAN) 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 2016-07-26
1699153270 Hopi Assisted Living Facility Inc. Point of Service 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 2015-05-14
1306223870 Mia Seimy Driver Adair Avenue Space #5, Tuba City, AZ 86045 2015-05-04
1033507587 Tari Carroll Home Health Aide Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 2015-01-07
1023452984 Amanda Bancroft Burrage Pediatrics 167 Main St., Tuba City, AZ 86045 2013-04-23
1659620375 Healthy Nation Transport LLC Non-emergency Medical Transport (VAN) 4222 Cactus Loop Drive, Tuba City, AZ 86045 2012-09-10
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063028124 Fresenius Medical Care Tuba City, LLC Clinic/Center 50 S. Main Street, Ste 108, Tuba City, AZ 86045 2020-09-23
1083670723 Trc Four Corners Dialysis Clinics LLC Clinic/Center 500 Edgewater Drive, Tuba City, AZ 86045-2905 2006-04-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043826191 Fresenius Medical Care Yuma, LLC Clinic/Center 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 2020-09-23
1215577598 Southwest Kidney - Davita Dialysis Partners LLC Clinic/Center 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 2020-01-14
1225678774 Endicott Dialysis LLC Clinic/Center 2500 S 8th Ave Ste 102, Yuma, AZ 85364-7132 2020-01-13
1811450281 Bio Medical Applications of Arizona LLC Clinic/Center 450 S Gilbert Rd, Chandler, AZ 85225-2479 2019-04-11
1437612165 Southwest Kidney - Davita Dialysis Partners LLC Clinic/Center 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 2019-04-10
1649730953 Scottsdale Kidney Center LLC Clinic/Center 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 2019-03-22
1437613916 Premier Home Dialysis Services Clinic/Center 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 2019-01-29
1801369186 Bio Medical Applications of Arizona LLC Clinic/Center 7862 E Florentine Rd Ste 100, Prescott Valley, AZ 86314-2216 2019-01-09
1932688256 Southwest Kidney Davita Dialysis Partners LLC Clinic/Center 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 2018-08-08
1306324215 Bio Medical Applications of Arizona LLC Clinic/Center 3600 W Tangerine Rd, Ste 120, Marana, AZ 85658-4789 2018-08-02
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Competitor

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City TUBA CITY
Zip Code 86045

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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