Organization
CAROLINA DIALYSIS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE CAROLINA - INTERSTATE PARK
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
115 INTERSTATE PARK, SPARTANBURG, SC 29303-6611
(864) 576-9999
(864) 576-9911
Mailing address
115 INTERSTATE PARK, SPARTANBURG, SC 29303-6611
(864) 576-9999
(864) 576-9911
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
05
—
ERD171
—
SC
Enumeration date
06/03/2006
Last updated
10/23/2023
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