Inland Northwest Renal Care Group, LLC

NPI #1720237233 in Ponderay, Idaho

Provider Information

NPI Number: 1720237233
Entity Type: Organization
Organization Name: Inland Northwest Renal Care Group, 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: Sep 9, 2008
Last Updated: Aug 2, 2012

Practice Location

Address: 204 N TRIANGLE DR
City: Ponderay
State: Idaho
ZIP Code: 83852-9729
Phone: (208) 255-4963

Authorized Official

Name: MARK FAWCETT
Title: TREASURER
Phone: (781) 699-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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