REFUGE DIALYSIS LLC NPI 1740696848

NPI Information

NPI: 1740696848
Provider Name: REFUGE DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: PILCHUCK DIALYSIS
CLIA Number: 50D2083305
Address: 1250 STATE AVE
MARYSVILLE, WA
ZIP 98270
Phone: (360) 651-0780

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NPI Details

REFUGE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Marysville, WA. REFUGE DIALYSIS LLC NPI is 1740696848. The provider is registered as an organization entity type.
The provider Is Doing Business As Pilchuck Dialysis.

The provider's business location address is:

1250 STATE AVE
MARYSVILLE, WA
ZIP 98270-659
Phone: (360) 651-0780
Fax: (360) 651-0680

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 50D2083305 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 8/9/2024.

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			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	2044243	MEDICAID	WASHINGTON

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: 3/30/2025

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