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RENAL CARE GROUP NORTHWEST INC. NPI 1528504099


NPI Information

NPI: 1528504099
Provider Name: RENAL CARE GROUP NORTHWEST, INC.

Doing Business As: FRESENIUS KIDNEY CARE GIG HARBOR

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 50D2128603

Address:
4700 POINT FOSDICK DR STE 101
GIG HARBOR, WA
ZIP 98335
Phone: (253) 851-0330
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RENAL CARE GROUP NORTHWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Gig Harbor, WA. RENAL CARE GROUP NORTHWEST, INC. NPI is 1528504099. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Gig Harbor.

The provider's business location address is:

4700 POINT FOSDICK DR STE 101
GIG HARBOR, WA
ZIP 98335-706
Phone: (253) 851-0330
Fax: (253) 851-0889

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 50D2128603 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 10/20/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150-2588OTHERWASHINGTONMEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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