NORTHWEST KIDNEY CENTERS NPI 1972696581

NPI Information

NPI: 1972696581
Provider Name: NORTHWEST KIDNEY CENTERS

Doing Business As: LAKE CITY KIDNEY CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
14524 BOTHELL WAY NE
LAKE FOREST PARK, WA
ZIP 98155
Phone: (206) 292-2771
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NORTHWEST KIDNEY CENTERS is an end-stage renal disease (esrd) treatment clinic center in Lake Forest Park, WA. NORTHWEST KIDNEY CENTERS NPI is 1972696581. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake City Kidney Center.

The provider's business location address is:

14524 BOTHELL WAY NE
LAKE FOREST PARK, WA
ZIP 98155
Phone: (206) 292-2771
Fax: (206) 292-2133

The provider's authorized official is Carrie Mccabe .
The authorized official title is Cfo and has the following contact phone number (206) 720-8508.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/22/2020.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	0251	OTHER	WASHINGTON	REGENCE BLUE SHIELD
2	1077	OTHER	WASHINGTON	PREMERA BLUE CROSS
3	3990785	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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