Organization
POCATELLO MED PARTNERS LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
IDAHO KIDNEY CENTER - POCATELLO
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
333 KNUDSEN BLVD, CHUBBUCK, ID 83202-4718
(208) 776-4732
(208) 776-4777
Mailing address
333 KNUDSEN BLVD, CHUBBUCK, ID 83202-4718
(208) 776-4732
(208) 776-4777
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
—
000010150841
BLUE CROSS OF IDAHO
ID
Enumeration date
06/15/2006
Last updated
10/17/2023
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