FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC (NPI# 1780184739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780184739 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE EAST FORTH WORTH |
| Practice Address |
1032 Sandy Ln Fort Worth TX 76120-3314 |
| Practice Telephone | 8174291944 |
| Practice Fax Number | 8174576873 |
| Mailing Telephone | 8174291944 |
| Mailing Fax Number | 8174576873 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | MARK FAWCETT (SVP AND 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 |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PTAN | 45-2563 | 01 |
| Other Name | Type Code |
|---|---|
| FRESENIUS KIDNEY CARE EAST FORTH WORTH | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRESENIUS MEDICAL CARE EAST FORT WORTH, LLC | 1032 Sandy Ln, Fort Worth, TX 76120-3314 |
| Street Address |
1032 SANDY LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76120-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386689891 | Reliant Renal Care-texas, LLC | Clinic/Center | 1032 Sandy Ln, Fort Worth, TX 76120-3314 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| 1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
| 1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
| 1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
| 1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
| Find all providers in zip 76120 | ||||
| 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 |
|---|---|---|---|---|
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1184024770 | Kerricher Dialysis, LLC | Clinic/Center | 2400 Lands End Blvd, Ste 131, Fort Worth, TX 76116-2170 | 2014-09-02 |
| 1659771624 | Headlands Dialysis, LLC | Clinic/Center | 5832 S Hulen St, Fort Worth, TX 76132-2684 | 2014-08-27 |
| 1235538299 | Hugo Dialysis, LLC | Clinic/Center | 11000 Old Denton Rd, Fort Worth, TX 76244-5407 | 2014-08-15 |
| 1184030751 | Manchester Dialysis, LLC | Clinic/Center | 3845 E Loop 820 S, Fort Worth, TX 76119-4337 | 2014-07-03 |
| 1528480837 | Usrc Bryant Irvin, LLC | Clinic/Center | 5729 Bryant Irvin Rd, Fort Worth, TX 76132 | 2014-01-07 |
| 1730517541 | North Arlington Dialysis Center LLC | Clinic/Center | 1451 Eastchase Pkwy, Fort Worth, TX 76120-4403 | 2013-10-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76120 |
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE EAST FORT WORTH, 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.