NPI 1154742120

Fresenius Medical Care Fort Wayne, LLC

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

Practice location

Address: 25 W 2nd St, Peru, IN 46970-2160
Phone: (765) 472-1531
Fax: (765) 472-1534

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: 1154742120
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.