Qualicenters Inland Northwest, LLC
NPI #1215196787 in Longview, Washington
Provider Information
- NPI Number
- 1215196787
- Entity Type
- Organization
- Organization Name
- Qualicenters Inland Northwest, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 9, 2008
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 5616 OCEAN BEACH HWY
- Address 2
- SUITE 260
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-6222
- Phone
- (360) 425-2460
Authorized Official
- Name
- MARK FAWCETT
- Title
- TREASURER
- Phone
- (781) 699-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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