FRESENIUS MEDICAL CARE HERITAGE PARK, LLC (NPI# 1558807727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558807727 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE HERITAGE PARK, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE HERITAGE PARK |
| Practice Address |
310 S Highland Ave Midwest City OK 73110-2130 |
| Practice Telephone | 4057331891 |
| Practice Fax Number | 4057390632 |
| Mailing Telephone | 4057331891 |
| Mailing Fax Number | 4057390632 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FRESENIUS KIDNEY CARE HERITAGE PARK | Doing Business As Name - Organization |
| Street Address |
310 S HIGHLAND AVE |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346352234 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 310 S Highland Ave, Midwest City, OK 73110-2130 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174816755 | Total Renal Care Inc | Clinic/Center | 9913 E Reno Ave, Midwest City, OK 73130-3505 | 2011-05-16 |
| 1346352234 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 310 S Highland Ave, Midwest City, OK 73110-2130 | 2006-08-31 |
| 1184686438 | Renal Treatment Centers West Inc | Clinic/Center | 7221 E Reno Ave, Midwest City, OK 73110-4474 | 2006-04-03 |
| 1700167871 | Bottle Dialysis LLC | Clinic/Center | 9230 E Reno Ave, Ste A, Midwest City, OK 73130-3320 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820111 | Midtown Home Dialysis LLC | Clinic/Center | 621 Nw 6th St, Oklahoma City, OK 73102-1203 | 2020-08-04 |
| 1750905733 | Bio Medical Applications of Oklahoma Inc | Clinic/Center | 324 Nw J A Richardson Loop, Ada, OK 74820-2017 | 2020-06-04 |
| 1346879640 | Fresenius Medical Care Okcd, LLC | Clinic/Center | 3012 Nw 150th St, Oklahoma City, OK 73134-2030 | 2020-04-07 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1487206595 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 215 S Brady St, Claremore, OK 74017-5081 | 2019-07-10 |
| 1104387711 | Total Renal Care, Inc. | Clinic/Center | 2 E Clark Bass Blvd Ste 101, Mcalester, OK 74501-4210 | 2019-03-27 |
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1356881346 | Macab Dialysis LLC | Clinic/Center | 204 S Van Buren St, Enid, OK 73703-5812 | 2017-02-24 |
| 1013455336 | Fresenius Medical Care Moore, LLC | Clinic/Center | 450 N Eastern Ave., Moore, OK 73160-5833 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE HERITAGE PARK, LLC.
| 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.