| Organization Name: | FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC |
| NPI Number: | 1356519847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK FAWCETT (VICE PRESIDENT, TREASURER) |
| Mailing Address: | 168 S Sgt Stanley Hoffman Blvd Rt 209 Bypass, Ckd Services Of Carbon County Lehighton |
| State: | PA US |
| Postal Code: | 182352230 |
| Phone Number: | 6103790330 |
| Fax Number: | 6103790336 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 11/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |