Organization
MOUNTAIN RIDGE DIALYSIS LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
MOUNTAIN RIDGE DIALYSIS 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
229 MERCHANTS WALK, SUMMERSVILLE, WV 26651-1901
(304) 872-9206
(304) 872-9209
Mailing address
229 MERCHANTS WALK, SUMMERSVILLE, WV 26651-1901
(304) 872-9206
(304) 872-9209
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
—
001809907
BCBS OF FLORIDA
—
Enumeration date
01/05/2007
Last updated
10/17/2023
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