OrganizationActive
Nra Fredericktown Missouri LLC
NPI 1639378474 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fredericktown, MO
Provider details
- NPI number
- 1639378474
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Mark Fawcett, Treasurer(781) 699-9000
- License
- NOT APPLICABLE (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Armory Street
Fredericktown, MO 63645-1340
Phone: (573) 783-2089
Fax: (573) 783-7206
Street-level locationGet directions
Mailing address
105 Armory Street
Fredericktown, MO 63645-1340
Other names (DBA / former)
- Doing business as
- Fredericktown Dialysis Clinic
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2012-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.