Provider Demographics
NPI:1336342542
Name:FRESENIUS MEDICAL CARE OF CHOUTEAU
Entity type:Organization
Organization Name:FRESENIUS MEDICAL CARE OF CHOUTEAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GERDI
Authorized Official - Middle Name:-
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN CNN
Authorized Official - Phone:314-920-6007
Mailing Address - Street 1:4030 CHOUTEAU AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1754
Mailing Address - Country:US
Mailing Address - Phone:314-535-2915
Mailing Address - Fax:314-535-1852
Practice Address - Street 1:4030 CHOUTEAU AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1754
Practice Address - Country:US
Practice Address - Phone:314-535-2915
Practice Address - Fax:314-535-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment