WA-SPOK KIDNEY CARE LLC NPI 1902056583

NPI Information

NPI: 1902056583
Provider Name: WA-SPOK KIDNEY CARE LLC

Doing Business As: KIDNEY CARE SPOKANE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
801 WEST FIFTH AVE
SUITE 509
SPOKANE, WA
ZIP 99204
Phone: (509) 473-3796
Get Directions

WA-SPOK KIDNEY CARE LLC is a nephrology internal medicine in Spokane, WA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. WA-SPOK KIDNEY CARE LLC NPI is 1902056583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kidney Care Spokane.

The provider's business location address is:

801 WEST FIFTH AVE
SUITE 509
SPOKANE, WA
ZIP 99204-841
Phone: (509) 473-3796
Fax: (509) 473-3793

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 8/12/2009.

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	207RN0300X	Internal Medicine	Nephrology			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	7144520	MEDICAID	WASHINGTON
2	G8876353	MEDICARE PIN	WASHINGTON
3	0241851	OTHER	WASHINGTON	DEPT OF L&I

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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