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Organization

LIBERTY DIALYSIS - HAWAII LLC

Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS - HAWAII ALA MOANA
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
500 ALA MOANA BLVD STE 7302, HONOLULU, HI 96813-4930
(808) 566-6388
(808) 566-6411
Mailing address
500 ALA MOANA BLVD STE 7302, HONOLULU, HI 96813-4930
(808) 566-6388
(808) 566-6411

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
122533
PTAN
HI
Enumeration date
09/12/2017
Last updated
10/19/2023
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