Organization
LIBERTY DIALYSIS-NAMPA LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS NAMPA, LLC
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
280 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 463-8558
(208) 463-8560
Mailing address
280 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 463-8558
(208) 463-8560
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
—
8078125
—
ID
Enumeration date
01/02/2007
Last updated
10/17/2023
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