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MOUNT BAKER KIDNEY CENTER INCORPORATED NPI 1114977857


NPI Information

NPI: 1114977857
Provider Name: MOUNT BAKER KIDNEY CENTER, INCORPORATED
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
410 BIRCHWOOD AVE
SUITE 100
BELLINGHAM, WA
ZIP 98225
Phone: (360) 734-4243
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MOUNT BAKER KIDNEY CENTER, INCORPORATED is an end-stage renal disease (esrd) treatment clinic center in Bellingham, WA. MOUNT BAKER KIDNEY CENTER, INCORPORATED NPI is 1114977857. The provider is registered as an organization entity type.

The provider's business location address is:

410 BIRCHWOOD AVE
SUITE 100
BELLINGHAM, WA
ZIP 98225-783
Phone: (360) 734-4243
Fax: (360) 715-9858

The provider's authorized official is Jeffrey Mark Lehman .
The authorized official title is Cfo and has the following contact phone number (800) 525-9059.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1502501MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONESRD
23999000MEDICAIDWASHINGTON

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: 11/14/2023

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