Organization · Type 2 NPI

FMS Gulfport, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gulfport, MS

NPI number 1952743049 Active

Practice location

3301 25th Ave
Gulfport, MS 39501-5910

Fax (228) 432-1744

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

North Gulfport Home Program, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Gulfport, MS NPI 1801216684

Other end-stage renal disease (esrd) treatment clinic/center providers in Gulfport

See all in Gulfport →

NPI record

NPI: 1952743049
Entity type: Organization (Type 2)
Issued: Jul 18, 2013
Last updated: Jul 18, 2013
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
South Mississippi Home · doing business as

Authorized official

Mark R Fawcett
Regulatory Affairs Specialist
(781) 699-9303

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952743049

FMS Gulfport, LLC's National Provider Identifier is 1952743049, issued on Jul 18, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gulfport, MS. The record was last updated on Jul 18, 2013.