Organization
LIBERTY DIALYSIS-JORDAN LANDING LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS - WEST JORDAN
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
3823 W 9000 S STE D, WEST JORDAN, UT 84088-5604
(801) 280-4600
(801) 280-0444
Mailing address
3823 W 9000 S STE D, WEST JORDAN, UT 84088-5604
(801) 280-4600
(801) 280-0444
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-2545
PTAN
UT
Enumeration date
09/14/2009
Last updated
10/17/2023
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