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NORTHWEST RENAL CLINIC INC. NPI 1780228544


NPI Information

NPI: 1780228544
Provider Name: NORTHWEST RENAL CLINIC, INC.

Doing Business As: ISLAND KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 12D2191496

Address:
105 MAUI LANI PKWY STE 100
WAILUKU, HI
ZIP 96793
Phone: (808) 442-7777
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NORTHWEST RENAL CLINIC, INC. is a nephrology internal medicine in Wailuku, HI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST RENAL CLINIC, INC. NPI is 1780228544. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Island Kidney Care.

The provider's business location address is:

105 MAUI LANI PKWY STE 100
WAILUKU, HI
ZIP 96793-443
Phone: (808) 442-7777
Fax: (808) 442-7778

The provider's authorized official is Clayton Michael Smiley .
The authorized official title is President / Md and has the following contact phone number (503) 229-7976.

The CLIA number assigned to this NPI record is 12D2191496 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/4/2019 and was last updated on 11/5/2019.


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
1207RN0300XInternal MedicineNephrologyYes

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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