Organization
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Active
Parent organization
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Other names
Ola Kino Comprehensive CKD Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Authorized official
MARK FAWCETT (VICE PRESIDENT)
(781) 699-2668
Entity
Organization
Contact information
Practice address
500 ALA MOANA BLVD BLDG 7, SUITE 302, HONOLULU, HI 96813-4920
(808) 537-1100
(808) 440-4827
Mailing address
920 WINTER ST, FMCNA CKD SERVICES 3W-16, WALTHAM, MA 02451-1521
(781) 699-4160
(781) 699-4046
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
—
DR9229
RR MEDICARE
HI
Enumeration date
02/18/2008
Last updated
02/01/2013
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