Organization
RENAL CARE GROUP NORTHWEST, INC.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE OLYMPIA
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
3406 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 455-5026
(360) 455-5302
Mailing address
3406 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 455-5026
(360) 455-5302
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
—
502530
PTAN
WA
Enumeration date
12/11/2006
Last updated
10/16/2023
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