Organization
RENAL CARE GROUP NORTHWEST, INC.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RCG SHELTON
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
1872 N 13TH LOOP RD, SHELTON, WA 98584-2169
(360) 432-2601
(360) 432-2608
Mailing address
1872 N 13TH LOOP RD, SHELTON, WA 98584-2169
(360) 432-2601
(360) 432-2608
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
—
50-2548
PTAN
—
Enumeration date
12/08/2006
Last updated
10/16/2023
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