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INLAND NORTHWEST RENAL CARE GROUP, LLC

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Company Details

Legal Name: INLAND NORTHWEST RENAL CARE GROUP, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 11th 2000
Expiration date: 31 Aug 2026
UBI Number: 602 058 186
Home State: MASSACHUSETTS
Principal Office Street Address: Google Maps Logo 920 WINTER ST., WALTHAM, MA, 02451, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,166,585

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM
Phone Number: +1 877-888-1245

Nature of Business

DIALYSIS SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
RENAL CARE GROUP INC. Governing Person

Links between entities

Type:
Headquarter of
Company Number:
197605
State:
IDAHO
Type:
Headquarter of
Company Number:
415126
State:
IDAHO

Unique Entity ID

Unique Entity ID:
GJM5QUCBBGD6
CAGE Code:
6TYQ4
UEI Expiration Date:
2026-06-18

Business Information

Doing Business As:
PANORAMA DIALYSIS
Activation Date:
2025-06-20
Initial Registration Date:
2012-12-11

Commercial and government entity program

CAGE number:
5QUY7
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-03-08
CAGE Expiration:
2022-03-07

Contact Information

POC:
AMY BAMFORD
Corporate URL:
http://www.fmcna.com

Immediate Level Owner

Vendor Certified:
2017-01-07
CAGE number:
3MGP1
Company Name:
FRESENIUS MEDICAL CARE HOLDINGS INC

National Provider Identifier

NPI Number:
1811504277
Certification Date:
2020-12-24

Authorized Person:

Name:
JAMES J. DIVITO
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4255231364
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