Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII - MAUI 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
105 MAUI LANI PKWY, WAILUKU, HI 96793-2443
(808) 244-9600
(808) 244-5712
Mailing address
105 MAUI LANI PKWY, WAILUKU, HI 96793-2443
(808) 244-9600
(808) 244-5712
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
—
00K0257465
—
HI
01
—
12-2510
PTAN
CA
Enumeration date
06/09/2006
Last updated
10/23/2023
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