OrganizationActive
Inland Northwest Renal Care Group, LLC
NPI 1720237233 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ponderay, ID
Provider details
- NPI number
- 1720237233
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Mark Fawcett, Treasurer(781) 699-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
204 N Triangle Dr
Ponderay, ID 83852-9729
Phone: (208) 255-4963
Approximate (ZIP-level) locationGet directions
Mailing address
204 N Triangle Dr
Ponderay, ID 83852-9729
Other names (DBA / former)
- Doing business as
- Fresenius Medical Care Idaho Panhandle Dialysis Center
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2012-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.