| Organization Name: | FRESENIUS MEDICAL CARE RANDALLSTOWN, LLC |
| NPI Number: | 1003159989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK R FAWCETT (TREASURER) |
| Mailing Address: | 9109 Liberty Rd Randallstown |
| State: | MD US |
| Postal Code: | 211333521 |
| Phone Number: | 4102243604 |
| Fax Number: | 4102248341 |
| NPI Enumeration Date: | 03/29/2013 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |