RENAL CARE OF MARION NPI 1427477454

NPI Information

NPI: 1427477454
Provider Name: RENAL CARE OF MARION

Other Name: ISD RENAL INC FKA DSI RENAL INC

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1423 PACIFIC AVE
TACOMA, WA
ZIP 98402
Phone: (253) 382-1752
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RENAL CARE OF MARION is an end-stage renal disease (esrd) treatment clinic center in Tacoma, WA. RENAL CARE OF MARION NPI is 1427477454. The provider is registered as an organization entity type.
The provider Other Name Is Isd Renal Inc Fka Dsi Renal Inc.

The provider's business location address is:

1423 PACIFIC AVE
TACOMA, WA
ZIP 98402-203
Phone: (253) 382-1752

The provider's authorized official is Kent Thiry .
The authorized official title is Ceo and has the following contact phone number (303) 876-6000.

The enumeration date for this NPI number is 4/7/2014 and was last updated on 4/7/2014.

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	1003861642	ARKANSAS	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	04D1021309	ARKANSAS	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	161607134	MEDICAID	ARKANSAS

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: 4/28/2024

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