Organization · Type 2 NPI

Inland Northwest Renal Care Group, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ponderay, ID

NPI number 1720237233 Active

Practice location

204 N Triangle Dr
Ponderay, ID 83852-9729

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1720237233
Entity type: Organization (Type 2)
Issued: Sep 9, 2008
Last updated: Aug 2, 2012
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Fresenius Medical Care Idaho Panhandle Dialysis Center · doing business as

Authorized official

Mark Fawcett
Treasurer
(781) 699-9000

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About NPI 1720237233

Inland Northwest Renal Care Group, LLC's National Provider Identifier is 1720237233, issued on Sep 9, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ponderay, ID. The record was last updated on Aug 2, 2012.