NPI | 1215389747 |
---|---|
Doing Business As | BEECH FORK DIALYSIS |
Entity Type | Organization |
Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-733-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2016-07-08 |
Last Update Date | 2018-08-16 |