RENAL CARE GROUP ALASKA (FAIRBANKS) LLC NPI 1679912059

NPI Information

RENAL CARE GROUP ALASKA (FAIRBANKS), LLC is an end-stage renal disease (esrd) treatment clinic center in Fairbanks, AK. RENAL CARE GROUP ALASKA (FAIRBANKS), LLC NPI is 1679912059. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Fairbanks.

The provider's business location address is:

1863 AIRPORT WAY
FAIRBANKS, AK
ZIP 99701-007
Phone: (907) 452-2900
Fax: (907) 452-2808

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 02D0720693 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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