| Organization Name: | FRESENIUS MEDICAL CARE CEDAR CITY, LLC |
| NPI Number: | 1093199135 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK FAWCETT (TREASURER) |
| Mailing Address: | 1320 North Main Street Cedar City |
| State: | UT US |
| Postal Code: | 84721 |
| Phone Number: | 4358678163 |
| Fax Number: | 4358676272 |
| NPI Enumeration Date: | 07/18/2015 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |