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FRESENIUS KIDNEY CARE MOORE
NPI 1013455336
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moore, OK

Active since February 07, 2017CLIA 37D2129683 · Waiver
450 N EASTERN AVE, MOORE, OK 73160(405) 790-0626(405) 790-0662 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 20, 2023, Aug 2, 2021, Mar 3, 2017 and 1 more (4 updates tracked since 2017).

About Fresenius Kidney Care Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS KIDNEY CARE MOORE (NPI 1013455336) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moore, Oklahoma and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013455336
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFRESENIUS MEDICAL CARE MOORE, LLC
Location Address450 N EASTERN AVEMoore, OK 73160-5833
Mailing Address450 N Eastern AveMoore, OK 73160-5833 · (405) 790-0626 · Fax (405) 790-0662
Phone(405) 790-0626
Fax(405) 790-0662
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateFebruary 7, 2017
Last NPPES UpdateOctober 20, 20234 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1013455336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
450 N EASTERN AVE, Moore, OK 73160
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Other Names 1

Doing Business AsFresenius Kidney Care Moore

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2129683

Fresenius Kidney Care Moore · Moore, OK
Active · expires Apr 23, 2027
CLIA Number37D2129683
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorFazal Akbar Ali
Laboratory Phone(405) 790-0626
Laboratory LocationFresenius Kidney Care Moore450 N Eastern Ave, Moore, OK 73160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is FRESENIUS MEDICAL CARE MOORE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013455336, enumerated as an "organization" on February 07, 2017.

Where is the provider located?

The provider is located at 450 N EASTERN AVE MOORE, OK 73160 and the phone number is (405) 790-0626.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does FRESENIUS MEDICAL CARE MOORE, LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.