RENAL CARE GROUP NORTHWEST INC. NPI 1952847428

NPI Information

RENAL CARE GROUP NORTHWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Puyallup, WA. RENAL CARE GROUP NORTHWEST, INC. NPI is 1952847428. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Puyallup.

The provider's business location address is:

702 S HILL PARK DR STE 105
PUYALLUP, WA
ZIP 98373-426
Phone: (253) 445-7520
Fax: (253) 848-3068

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 50D2128586 - 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:

Other Identifiers

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