Inland NW Renal Care Group - Gritman Medical Center, LLC

NPI #1538306428 in Moscow, Idaho

Provider Information

NPI Number
1538306428
Entity Type
Organization
Organization Name
Inland NW Renal Care Group - Gritman Medical Center, 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
Jan 14, 2009
Last Updated
Oct 17, 2023

Practice Location

Address
723 S MAIN ST
City
Moscow
State
Idaho
ZIP Code
83843-3041
Phone
(208) 882-1817

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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