NPI 1104247154

Fresenius Medical Care Fort Wayne, LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Decatur, IN

Practice location

Address: 817 S 13th St, Decatur, IN 46733-1891
Phone: (260) 724-8303
Fax: (260) 724-7685

Authorised official

Name: Barry L. Blanton
Title: Vice President
Phone: (781) 699-9000

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1104247154
Entity type: Organization
NPI issued: 18 Dec 2013
Record last updated: 17 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.