Organization
INLAND NORTHWEST RENAL CARE GROUP, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
MOSES LAKE DIALYSIS UNIT
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
847A E BROADWAY AVE, MOSES LAKE, WA 98837-5933
(509) 765-9123
(509) 764-9940
Mailing address
847A E BROADWAY AVE, MOSES LAKE, WA 98837-5933
(509) 765-9123
(509) 764-9940
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
—
502529
PTAN
WA
Enumeration date
08/31/2006
Last updated
10/16/2023
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