Organization
LIBERTY DIALYSIS-ST.GEORGE LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS - ST. GEORGE
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
624 S 1000 E STE 101, ST GEORGE, UT 84790-5902
(435) 656-4596
(435) 673-6674
Mailing address
624 S 1000 E STE 101, ST GEORGE, UT 84790-5902
(435) 656-4596
(435) 673-6674
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
—
462542
PTAN
UT
Enumeration date
10/31/2007
Last updated
10/17/2023
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