Organization
IDAHO KIDNEY CENTER-BLACKFOOT LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
IDAHO KIDNEY CENTER-BLACKFOOT
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
245 POPLAR ST, BLACKFOOT, ID 83221-4907
(208) 643-0876
(208) 643-0859
Mailing address
245 POPLAR ST, BLACKFOOT, ID 83221-4907
(208) 643-0876
(208) 643-0859
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
10/24/2023
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