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Organization

RENAL CARE GROUP ARIZONA, LLC

Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RENAL CARE GROUP - MAMMOTH
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
14786 S STATE HIGHWAY 77, MAMMOTH, AZ 85618-0000
(520) 487-0150
(520) 487-0156
Mailing address
14786 S STATE HIGHWAY 77, MAMMOTH, AZ 85618-0000
(520) 487-0150
(520) 487-0156

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/01/2006
Last updated
10/17/2023
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