Provider Demographics
NPI:1215120050
Name:BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:1061 ABERDEEN ROAD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-2655
Mailing Address - Country:US
Mailing Address - Phone:910-277-3592
Mailing Address - Fax:910-277-3596
Practice Address - Street 1:1061 ABERDEEN ROAD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28353-2655
Practice Address - Country:US
Practice Address - Phone:910-277-3592
Practice Address - Fax:910-277-3596
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-24
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC342664Medicare Oscar/Certification