RENAL CARE GROUP NORTHWEST INC. NPI 1770643868

NPI Information

RENAL CARE GROUP NORTHWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Olympia, WA. RENAL CARE GROUP NORTHWEST, INC. NPI is 1770643868. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Olympia.

The provider's business location address is:

3406 12TH AVE NE
OLYMPIA, WA
ZIP 98506-175
Phone: (360) 455-5026
Fax: (360) 455-5302

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 50D0981288 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/16/2023.

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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