INLAND NORTHWEST RENAL CARE GROUP LLC (NPI# 1912019720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912019720 |
| Entity Type | Organization |
| Organization Name | INLAND NORTHWEST RENAL CARE GROUP LLC |
| Other Organization Name | NORTH IDAHO DIALYSIS FACILITY |
| Practice Address |
2100 Ironwood Ct Suite A Coeur D Alene ID 83814-2698 |
| Practice Telephone | 2086643064 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MARK FAWCETT (SVP AND 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 |
|---|---|
| NORTH IDAHO DIALYSIS FACILITY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841574746 | Inland Northwest Renal Care Group LLC | Clinic/Center | 822 S. Main Street, Deer Park, WA 99006-8242 | 2011-10-11 |
| 1457500019 | Inland Northwest Renal Care Group LLC | Clinic/Center | 147 Garden Homes Dr., Colville, WA 99114-9229 | 2008-09-18 |
| Street Address |
2100 IRONWOOD CT SUITE A |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952710428 | Sandra D Rybacki | Nurse Practitioner | 2100 Ironwood Ct, Coeur D Alene, ID 83814-2698 | 2014-08-08 |
| 1962627265 | Chad Cameron Hagen | Psychiatry & Neurology | 2100 Ironwood Ct, Coeur D Alene, ID 83814-2698 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1821278201 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 7600 N Mineral Dr Ste 850, Coeur D Alene, ID 83815-7783 | 2007-11-14 |
| 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 | 83814 |
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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.