PUGET SOUND KIDNEY CENTERS NPI 1386764009

NPI Information

NPI: 1386764009
Provider Name: PUGET SOUND KIDNEY CENTERS

Doing Business As: PSKC - SMOKEY POINT

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
18828 SMOKEY POINT BLVD
ARLINGTON, WA
ZIP 98223
Phone: (360) 454-5280
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PUGET SOUND KIDNEY CENTERS is an end-stage renal disease (esrd) treatment clinic center in Arlington, WA. PUGET SOUND KIDNEY CENTERS NPI is 1386764009. The provider is registered as an organization entity type.
The provider Is Doing Business As Pskc - Smokey Point.

The provider's business location address is:

18828 SMOKEY POINT BLVD
ARLINGTON, WA
ZIP 98223-266
Phone: (360) 454-5280
Fax: (360) 454-5287

The provider's authorized official is Harold S Kelly .
The authorized official title is President & Ceo and has the following contact phone number (425) 259-5195.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/5/2008.

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		WASHINGTON	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	3144805	MEDICAID	WASHINGTON
2	50-2546	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	KIDNEY DIALYSIS CENTER

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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