Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII - LEEWARD DIALYSIS FACILITY
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
91-2137 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 671-3042
(808) 677-7903
Mailing address
91-2137 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 671-3042
(808) 677-7903
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
—
00I0257460
—
HI
Enumeration date
06/10/2006
Last updated
10/17/2023
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