Organization
QUALICENTERS INLAND NORTHWEST L.L.C.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
QUALICENTERS WALLA WALLA
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
135 AVERY ST, WALLA WALLA, WA 99362-1669
(509) 676-5400
(509) 593-3370
Mailing address
135 AVERY ST, WALLA WALLA, WA 99362-1669
(509) 676-5400
(509) 593-3370
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
—
50-2517
PTAN
WA
Enumeration date
08/31/2006
Last updated
10/13/2023
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