PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1093889875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093889875 |
Entity Type | Organization |
Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
Other Organization Name | SKAGIT VALLEY KIDNEY CENTER |
Practice Address |
208 S. Hospital Parkway Mount Vernon WA 98274-4126 |
Mailing Address |
1415 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4126 |
Practice Telephone | 3604244111 |
Mailing Telephone | 3604244111 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2018-09-18 |
Authorized Official Name | PAUL ISHIZUKA (CFO) |
Authorized Official Telephone | 3608148346 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
H-207 | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1002366 | 05 |
Other Name | Type Code |
---|---|
Skagit Valley Kidney Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316061765 | Public Hospital Dist No 1 Skagit | Clinic/Center | 875 Wesley St Ste 160, Arlington, WA 98223-1650 | 2007-03-19 |
1013064575 | Public Hospital Dist No 1 Skagit | Family Medicine | 1190 Riddle Street, Darrington, WA 98241 | 2007-01-05 |
1831131135 | Public Hospital Dist No 1 Skagit | Durable Medical Equipment & Medical Supplies | 1410 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-06-12 |
1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
1033164470 | Public Hospital Dist No 1 Skagit | Family Medicine | 405 W. Stanley Street, Granite Falls, WA 98252-8631 | 2006-05-24 |
1811460652 | Public Hospital Dist No 1 Skagit | Physical Therapy Assistant | 1901 Hoag Road, Suite B, Mount Vernon, WA 98273 | 2019-01-04 |
1497163448 | Public Hospital Dist No 1 Skagit | Emergency Medicine | 3823 172nd St Ne, Arlington, WA 98223-7735 | 2014-07-22 |
1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
Street Address |
208 S. HOSPITAL PARKWAY |
City | MOUNT VERNON |
State | WA |
Zip Code | 98274-4126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
Find all providers in zip 98274 |
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 |
---|---|---|---|---|
1508366386 | Knickerbocker Dialysis Inc | Clinic/Center | 120 E Sandford Blvd, Mount Vernon, NY 10550-4512 | 2018-02-18 |
1710229927 | Total Renal Care Inc | Clinic/Center | 1485 Coshocton Ave, Mount Vernon, OH 43050-1544 | 2013-03-26 |
1245345081 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 14 Woodlake Trl, Mount Vernon, OH 43050-9132 | 2006-08-20 |
1326072638 | Renal Life Link Inc | Clinic/Center | 4102 N. Water Tower Place, Mount Vernon, IL 62864 | 2006-07-10 |
1407324247 | Dialysis Clinic Inc | Clinic/Center | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2018-11-09 |
1770908410 | Ms Acquisitions IIi, LLC | Clinic/Center | 10 Claremont Ave, Mount Vernon, NY 10550-1609 | 2014-03-04 |
1528404985 | Ms Acquisitions IIi, LLC | Clinic/Center | 10 Claremont Ave, Mount Vernon, NY 10550-1609 | 2013-05-13 |
1013107358 | Mount Vernon Dialysis LLC | Clinic/Center | 12 N 7th Avenue, 3rd Floor, Mount Vernon, NY 10550-2026 | 2007-08-01 |
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 |
City | MOUNT VERNON |
Zip Code | 98274 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DIST NO 1 SKAGIT.
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.