RENAL CARE GROUP NORTHWEST, INC. (NPI# 1083774483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083774483 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP NORTHWEST, INC. |
| Other Organization Name | RCG SHELTON |
| Practice Address |
1872 N 13th Loop Rd Shelton WA 98584-2169 |
| Practice Telephone | 3604322601 |
| Mailing Telephone | 3604322601 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | 50-2548 | 01 |
| Other Name | Type Code |
|---|---|
| RCG SHELTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768088 | Renal Care Group Northwest, Inc. | Clinic/Center | 19663 Sr 410 E, Bonney Lake, WA 98391-5202 | 2019-12-24 |
| 1588087233 | Renal Care Group Northwest, Inc. | Clinic/Center | 8770 Tallon Ln Ne, Lacey, WA 98516-6642 | 2014-01-31 |
| 1770643868 | Renal Care Group Northwest, Inc. | Clinic/Center | 3406 12th Ave Ne, Olympia, WA 98506 | 2006-12-11 |
| 1801986302 | Renal Care Group Northwest, Inc. | Clinic/Center | 719 Sleater Kinney Rd Se, Suite 152, Lacey, WA 98503-1147 | 2006-10-13 |
| 1043312218 | Renal Care Group Northwest, Inc. | Clinic/Center | 1684 Bishop Rd, Chehalis, WA 98532-8745 | 2006-09-01 |
| 1245342146 | Renal Care Group Northwest, Inc. | Clinic/Center | 2012 Industrial Pkwy, Aberdeen, WA 98520-4530 | 2006-08-31 |
| 1295203370 | Renal Care Group Northwest, Inc. | Clinic/Center | 208 Hospital Parkway, Suite A, Mt. Vernon, WA 98273-1376 | 2018-11-07 |
| 1528504099 | Renal Care Group Northwest, Inc. | Clinic/Center | 4700 Point Fosdick Dr Nw, Ste 101, Gig Harbor, WA 98335-1706 | 2017-01-09 |
| 1952847428 | Renal Care Group Northwest, Inc. | Clinic/Center | 702 S Hill Park Dr, Suite 105, Puyallup, WA 98373-1426 | 2017-01-09 |
| 1841736329 | Renal Care Group Northwest, Inc. | Clinic/Center | 5825 Tacoma Mall Blvd, Suite 103, Tacoma, WA 98409-6906 | 2017-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RENAL CARE GROUP NORTHWEST, INC. | 920 Winter St, Waltham, MA 02451 |
| Washington State Corporations | RENAL CARE GROUP NORTHWEST, INC. | 920 Winter St, Waltham, MA 02451-1521 |
| Street Address |
1872 N 13TH LOOP RD |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891761565 | Dva Healthcare Renal Care Inc | Clinic/Center | 750 Bridgeport Ave, Shelton, CT 06484-4734 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1447867247 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 | 2020-09-25 |
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1801404124 | Northwest Kidney Centers | Clinic/Center | 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 | 2020-07-22 |
| 1134768088 | Renal Care Group Northwest, Inc. | Clinic/Center | 19663 Sr 410 E, Bonney Lake, WA 98391-5202 | 2019-12-24 |
| 1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1861981177 | Northwest Kidney Centers | Clinic/Center | 501 S 336th St Ste 110, Federal Way, WA 98003-6745 | 2018-05-02 |
| 1063901379 | Northwest Kidney Centers | Clinic/Center | 6021 12th St E Ste 100, Fife, WA 98424-1399 | 2018-05-02 |
| 1255838694 | Franciscan Health System | Clinic/Center | 19420 State Route 410 E, Bonney Lake, WA 98391-8472 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.