| NPI | 1942235759 |
|---|---|
| Doing Business As | FOUNTAIN DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-280-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-03-04 |