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Fresenius Medical Care West Madison, LLC

Details

Name: Fresenius Medical Care West Madison, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 25 Sep 2013 (11 years ago) (Companies founded in September 2013)
Entity Number: 000-288-522
Register Number: 000288522
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Principal Address: 920 Winter St.Waltham, MA 02451

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013327899 2014-05-02 2023-10-24 29569 HUNTSVILLE BROWNSFERRY RD, MADISON, AL, 357563639, US 29569 HUNTSVILLE BROWNSFERRY RD, MADISON, AL, 357563639, US

Contacts

Phone +1 256-233-5757
Fax 2562335578

Authorized person

Name BARRY L. BLANTON
Role VICE PRESIDENT
Phone 7816999000

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7Q5L6 Active Non-Manufacturer 2016-09-24 2023-05-06 2027-05-11 2023-05-06

Contact Information

POC REBECCA SCORSE
Phone +1 480-632-3676
Fax +1 480-632-3470
Address 29569 HUNTSVILLE BROWNSFERRY RD, MADISON, AL, 35756 3639, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2022-05-10
CAGE number 3MGP1
Company Name FRESENIUS MEDICAL CARE HOLDINGS, INC.
CAGE Last Updated 2024-05-01
List of Offerors (0) Information not Available

Agent

Name Role
C T Corporation System Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State