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RENAL CARE GROUP NORTHWEST INC. NPI 1801986302


NPI Information

NPI: 1801986302
Provider Name: RENAL CARE GROUP NORTHWEST, INC.

Doing Business As: OLYMPIA HOME

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
719 SLEATER KINNEY RD SE
SUITE 152
LACEY, WA
ZIP 98503
Phone: (360) 459-3111
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RENAL CARE GROUP NORTHWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Lacey, WA. RENAL CARE GROUP NORTHWEST, INC. NPI is 1801986302. The provider is registered as an organization entity type.
The provider Is Doing Business As Olympia Home.

The provider's business location address is:

719 SLEATER KINNEY RD SE
SUITE 152
LACEY, WA
ZIP 98503-147
Phone: (360) 459-3111

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 402-9000.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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