Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII MILILANI DIALYSIS
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
95-1105 AINAMAKUA DR STE 100, MILILANI, HI 96789-6313
(808) 626-6419
(808) 626-2354
Mailing address
95-1105 AINAMAKUA DR STE 100, MILILANI, HI 96789-6313
(808) 626-6419
(808) 626-2354
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
—
122532
PTAN
—
Enumeration date
05/03/2017
Last updated
10/19/2023
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