Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII - WEST KAUAI 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
4643 WAIMEA CANYON RD, STE A, WAIMEA, HI 96796-0000
(808) 338-1100
(808) 338-1185
Mailing address
4643 WAIMEA CANYON RD, STE A, WAIMEA, HI 96796-0000
(808) 338-1100
(808) 338-1185
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
05
—
00D0257461
—
HI
01
—
=========
DEPT OF VETERANS AFFAIRS
—
Enumeration date
06/20/2006
Last updated
10/17/2023
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