INLAND NORTHWEST RENAL CARE GROUP, LLC (NPI# 1821278201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821278201 |
Entity Type | Organization |
Organization Name | INLAND NORTHWEST RENAL CARE GROUP, LLC |
Other Organization Name | FRESENIUS MEDICAL CARE HAYDEN LAKE |
Practice Address |
7600 N Mineral Dr Ste 850 Coeur D Alene ID 83815-7783 |
Practice Telephone | 2087624411 |
Practice Fax Number | 2087624334 |
Mailing Telephone | 2087624411 |
Mailing Fax Number | 2087624334 |
Enumeration Date | 2007-11-14 |
Last Update Date | 2019-10-16 |
Authorized Official Name | JAMES DIVITO (VICE PRESIDENT) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fresenius Medical Care Hayden Lake | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
1447867247 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 | 2020-09-25 |
1295987493 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 530 S 1st Ave, Othello, WA 99334 | 2008-10-21 |
1720237233 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 204 N Triangle Dr, Ponderay, ID 83852-9729 | 2008-09-09 |
1417059684 | Inland Northwest Renal Care Group, LLC | Clinic/Center | Suite 101, 610 S. Sherman, Spokane, WA 99202 | 2006-09-01 |
1609988500 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 1116 E Westview Ct, Spokane, WA 99218-1384 | 2006-08-31 |
1972615870 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 1017 North Pines Road, Spokane, WA 99206-4934 | 2006-08-31 |
1336251230 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 847 A East Broadway Avenue, Moses Lake, WA 98837-4623 | 2006-08-31 |
1154433050 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 800 Jasmine St, Ste. 1, Omak, WA 98841-9501 | 2006-08-31 |
1821100637 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 1300 E Mullan Ave, Suite 1200, Post Falls, ID 83854-6052 | 2006-08-31 |
Street Address |
7600 N MINERAL DR STE 850 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83815-7783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801276779 | Sheila Hansen | Dietitian, Registered | 7600 N Mineral Dr Ste 850, Coeur D Alene, ID 83815-7783 | 2015-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
Find all providers in zip 83815 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912019720 | Inland Northwest Renal Care Group LLC | Clinic/Center | 2100 Ironwood Ct, Suite A, Coeur D Alene, ID 83814-2698 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
1457749475 | Lewis-clark Kidney Center LLC | Clinic/Center | 2116 12th Ave, Lewiston, ID 83501-3502 | 2014-12-29 |
1144621665 | Dsi Post Falls, LLC | Clinic/Center | 920 N Highway 41, Suite 3-6, Post Falls, ID 83854-8806 | 2014-09-16 |
1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
1467883967 | Dsi Kellogg, LLC | Clinic/Center | 858 Commerce Dr., Smelterville, ID 83868 | 2013-12-09 |
1154669695 | Tfld Partners, LLC | Clinic/Center | 350 North Haven Drive, Twin Falls, ID 83301 | 2013-01-17 |
1255643243 | Ldcd LLC | Clinic/Center | 4620 Enterprise Way, Suite 101, Caldwell, ID 83605-6764 | 2010-07-08 |
Find all providers with the same taxonomy |
City | COEUR D ALENE |
Zip Code | 83815 |
Please comment or provide details below to improve the information on INLAND NORTHWEST RENAL CARE GROUP, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.