Inland Northwest Renal Care Group, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ponderay, ID
NPI 1720237233 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1720237233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- INLAND NORTHWEST RENAL CARE GROUP, LLC
- Practice address
- 204 N Triangle Dr
Ponderay, ID 83852-9729 - Phone
- (208) 255-4963
- NPI assigned
- Sep 9, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Mark Fawcett
- Title
- Treasurer
- Phone
- (781) 699-9000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
204 N Triangle Dr
Ponderay, ID 83852-9729
Mailing address
204 N Triangle Dr
Ponderay, ID 83852-9729
Phone (208) 255-4963
Other names
- Fresenius Medical Care Idaho Panhandle Dialysis Center
Other providers in Ponderay, ID
- Debra Mae Haworth-Bush
- Tara Heisey
- Jessica Hunt
- Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint
- Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint
- Innovative Anesthesia
- Inspire Change Therapeutic Services PLLC
- Daniel Grant Freeman Jefferies
- Brenda Kay Jerald
- Jesstherapy PLLC
All providers in Ponderay, ID · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.