FRESENIUS MEDICAL CARE JOPLIN EAST – NPI #1407958697
Clinic/Center

FRESENIUS MEDICAL CARE JOPLIN EAST is an AHC clinic located in JOPLIN, MO. NPPES has assigned the NPI number 1407958697 to FRESENIUS MEDICAL CARE JOPLIN EAST on September 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS MEDICAL CARE JOPLIN EAST” is a dba name, the actual legal business name for this organization is FOUR STATE REGIONAL DIALYSIS CENTER, INC.. 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 3 years ago on Oct 23, 2023. 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 JOPLIN EAST below.

NPI Profile for
FOUR STATE REGIONAL DIALYSIS CENTER, INC.

NPI Number
1407958697
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
FOUR STATE REGIONAL DIALYSIS CENTER, INC.
Doing Business As (dba): FRESENIUS MEDICAL CARE JOPLIN EAST
Primary location
522 W 32ND ST STE 2
JOPLIN, MO 64804-2533
Phone: (417) 782-4055 Fax: (417) 782-3675
Mailing address
Same as primary location
Organization Subpart
Yes - FRESENIUS MEDICAL CARE JOPLIN EAST is subpart of another organization.
Authorized Official
BARRY BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Updated
Certification Date
Oct 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669