| NPI | 1023050176 |
|---|---|
| Doing Business As | BMA OF CARBON COUNTY |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Treasurer 781-699-2668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-05-28 |