FRESENIUS MEDICAL CARE-FOREST PARK – NPI #1174630909
Clinic/Center

FRESENIUS MEDICAL CARE-FOREST PARK is an AHC clinic located in BRENTWOOD, MO. NPPES has assigned the NPI number 1174630909 to FRESENIUS MEDICAL CARE-FOREST PARK on August 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS MEDICAL CARE-FOREST PARK” is a dba name, the actual legal business name for this organization is SAINT LOUIS RENAL CARE, LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESENIUS MEDICAL CARE-FOREST PARK below.

NPI Profile for
SAINT LOUIS RENAL CARE, LLC

NPI Number
1174630909
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAINT LOUIS RENAL CARE, LLC
Doing Business As (dba): FRESENIUS MEDICAL CARE-FOREST PARK
Primary location
1400 STRASSNER ROAD
BRENTWOOD, MO 63144
Phone: (314) 768-3011 Fax: (314) 768-3560
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK FAWCETT
TREASURER
Phone: (781) 402-9000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.