FRESENIUS KIDNEY CARE CLYDE PARK SOUTH
NPI 1245509348
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grand Rapids, MI

Q: What is Fms Clyde Park South, LLC's NPI number?

The NPI number for Fms Clyde Park South, LLC is 1245509348. It was assigned to this organization in the NPPES registry on December 19, 2011. The provider is doing business as Fresenius Kidney Care Clyde Park South.

Q: What is Fms Clyde Park South, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since December 19, 2011

5311 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509(616) 534-7179(616) 534-7930 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2023, Aug 11, 2021, Jan 11, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Fresenius Kidney Care Clyde Park South NPPES

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

FRESENIUS KIDNEY CARE CLYDE PARK SOUTH (NPI 1245509348) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Grand Rapids, Michigan and active in the NPI registry since December 2011. The organization lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1245509348

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFMS CLYDE PARK SOUTH, LLC

Location Address5311 CLYDE PARK AVE SWGrand Rapids, MI 49509-9527

Mailing Address5311 Clyde Park Ave SwGrand Rapids, MI 49509-9527 · (616) 534-7179 · Fax (616) 534-7930

Phone(616) 534-7179

Fax(616) 534-7930

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateDecember 19, 2011

Last NPPES UpdateOctober 20, 20234 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1245509348 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

5311 CLYDE PARK AVE SW, Grand Rapids, MI 49509

Open in Google Maps ↗

Other Names 1

Doing Business AsFresenius Kidney Care Clyde Park South

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fms Clyde Park South, LLC's NPI number?

The NPI number for Fms Clyde Park South, LLC is 1245509348. It was assigned to this organization in the NPPES registry on December 19, 2011. The provider is doing business as Fresenius Kidney Care Clyde Park South.

Where is Fms Clyde Park South, LLC located?

Fms Clyde Park South, LLC is located at 5311 Clyde Park Ave SW, Grand Rapids, MI 49509. The listed phone number is (616) 534-7179.

What is Fms Clyde Park South, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Fms Clyde Park South, LLC was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.