INLAND NORTHWEST RENAL CARE GROUP, LLC (NPI# 1720237233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720237233 |
| Entity Type | Organization |
| Organization Name | INLAND NORTHWEST RENAL CARE GROUP, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE IDAHO PANHANDLE DIALYSIS CENTER |
| Practice Address |
204 N Triangle Dr Ponderay ID 83852-9729 |
| Practice Telephone | 2082554963 |
| Mailing Telephone | 2082554963 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| 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 Idaho Panhandle Dialysis Center | 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 |
| 1821278201 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 7600 N Mineral Dr Ste 850, Coeur D Alene, ID 83815-7783 | 2007-11-14 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INLAND NORTHWEST RENAL CARE GROUP, LLC | 101 West 8th, Spokane, WA 99220 |
| Street Address |
204 N TRIANGLE DR |
| City | PONDERAY |
| State | ID |
| Zip Code | 83852-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669748174 | Dialysis Newco Inc | Clinic/Center | 204 N Triangle Dr, Ponderay, ID 83852-9729 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606647 | Vern Stairs | Pharmacist | 476999 Us-95, Walmart Supercenter, Ponderay, ID 83852 | 2016-01-04 |
| 1083809727 | Michael R Dibenedetto Md Pllc | Orthopaedic Surgery | 30544 Hwy 200, Ste 102, Ponderay, ID 83852 | 2007-09-06 |
| 1811009988 | David Paul Cox | Dentist | 477542 Hwy 95 N, Ponderay, ID 83852 | 2006-08-31 |
| 1861774291 | Michael David Schicker | Orthopaedic Surgery | 30544 Highway 200 Ste 102, Ponderay, ID 83852 | 2011-09-12 |
| 1750410825 | Glacier Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 205 Vermeer Dr, Suite C, Ponderay, ID 83852-1660 | 2007-03-05 |
| 1083949531 | Mario E Roxas | Naturopath | 476864 Highway 95, Suite #3, Ponderay, ID 83852-5000 | 2009-10-15 |
| 1942716246 | Darwin L Hurst | Family Medicine | 30544 Highway 200 Ste 101, Ponderay, ID 83852-5005 | 2017-12-21 |
| 1902036734 | Innovative Anesthesia | Nurse Anesthetist, Certified Registered | 30544 Highway 200 Ste 201, Pend Oreille Surgery Center, Ponderay, ID 83852-5005 | 2009-07-14 |
| 1255597811 | Travis Lee Taylor | Nurse Practitioner | 30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 | 2008-08-04 |
| 1982741195 | Ryan Leisy | Chiropractor | 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 | 2007-01-30 |
| Find all providers in zip 83852 | ||||
| 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 |
|---|---|---|---|---|
| 1669748174 | Dialysis Newco Inc | Clinic/Center | 204 N Triangle Dr, Ponderay, ID 83852-9729 | 2012-03-29 |
| 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 | ||||
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| 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.