Organization
INLAND NORTHWEST RENAL CARE GROUP, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Fresenius Medical Care Idaho Panhandle Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MARK FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
204 N TRIANGLE DR, PONDERAY, ID 83852-9729
(208) 255-4963
Mailing address
204 N TRIANGLE DR, PONDERAY, ID 83852-9729
(208) 255-4963
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
08/02/2012
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