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FMS Endeavour Dialysis Center, LLC

Details

Name: FMS Endeavour Dialysis Center, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 26 Aug 2009 (15 years ago) (Companies founded in August 2009)
Entity Number: 000-618-131
Register Number: 000618131
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 920 WINTER STREETWALTHAM, MA 02451
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities OPERATE DIALYSIS FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114225737 2011-03-06 2023-10-17 1675 SPARKMAN DR NW, HUNTSVILLE, AL, 358161113, US 1675 SPARKMAN DR NW, HUNTSVILLE, AL, 358161113, US

Contacts

Phone +1 256-722-0013
Fax 2567220402

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
6KZ89 Active Non-Manufacturer 2011-11-10 2024-06-04 2029-06-04 2025-05-30

Contact Information

POC JACKIE THOMAS
Phone +1 480-632-3548
Fax +1 781-464-2591
Address 1675 SPARKMAN DR NW, HUNTSVILLE, MADISON, AL, 35816 1113, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-06-03
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 Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State