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Organization

NRA-HOLLY HILL, SOUTH CAROLINA, LLC

Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
HOLLY HILL DIALYSIS CLINIC
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
8532 OLD STATE RD, HOLLY HILL, SC 29059-8379
(803) 496-2800
(803) 496-2808
Mailing address
8532 OLD STATE RD, HOLLY HILL, SC 29059-8379
(803) 496-2800
(803) 496-2808

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-137
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42D1011035
CLIA CERTIFICATE OF WAIVE
SC
05
ERD137
SC
Enumeration date
06/13/2006
Last updated
10/17/2023
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