Nra Fredericktown Missouri LLC
Nra Fredericktown Missouri LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fredericktown, MO, holding Type 2 (organization) NPI 1639378474 since 2007. The authorized official on file is Mark Fawcett, Treasurer.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1639378474 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nra Fredericktown Missouri LLC |
| Other name | <Unavail> |
| Parent organization | Fresenius Medical Care Holdings, Inc. |
| Practice address | 105 ARMORY STREET, Fredericktown, MO, 63645 |
| Phone | 5737832089 |
| Fax | 5737837206 |
| Enumeration date | 2007-07-12 |
| Last updated in NPPES | 2012-08-15 |
Authorized official
| Name | Mark Fawcett |
|---|---|
| Title | Treasurer |
| Phone | 7816999000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | NOT APPLICABLE | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D1071779 | Other | MO | CLIA CERT. OF WAIVER |
| 504928904 | Medicaid | MO | — |
Copy-ready billing details
Provider: Nra Fredericktown Missouri LLC NPI: 1639378474 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 105 ARMORY STREET, Fredericktown, MO, 63645
Verify this record
Cross-check NPI 1639378474 against the authoritative CMS record: view Nra Fredericktown Missouri LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Nra Fredericktown Missouri LLC?
Who is the authorized official for Nra Fredericktown Missouri LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-15.