<Unavail>

LBN: Fms Clyde Park South, Llc
<Unavail> is an health care organization with primary practice located at 5311 Clyde Park Ave Sw , Grand Rapids MI 49509-9527. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Fms Clyde Park South, Llc can be contacted via phone (616) 534-7179, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
5311 Clyde Park Ave Sw Grand Rapids MI 49509-9527
Phone: (616) 534-7179
Fax: (616) 534-7930
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1245509348
LBN Legal business name Fms Clyde Park South, Llc
DBA Doing business as <Unavail>
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 19th, 2011
Last updated Oct 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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