Organization
INLAND NORTHWEST RENAL CARE GROUP, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE HAYDEN LAKE
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
7600 N MINERAL DR STE 850, COEUR D ALENE, ID 83815-7783
(208) 762-4411
(208) 762-4334
Mailing address
7600 N MINERAL DR STE 850, COEUR D ALENE, ID 83815-7783
(208) 762-4411
(208) 762-4334
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
10/16/2023
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