| 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 |