Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII-HAWAII SALT LAKE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
4380 LAWEHANA ST STE 100, HONOLULU, HI 96818-3129
(808) 423-6828
(808) 422-6049
Mailing address
4380 LAWEHANA ST STE 100, HONOLULU, HI 96818-3129
(808) 423-6828
(808) 422-6049
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-2530
PTAN
HI
Enumeration date
09/01/2016
Last updated
10/19/2023
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