RENAL CARE GROUP NORTHWEST, INC. (NPI# 1154867638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154867638 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP NORTHWEST, INC. |
| Practice Address |
1415 E 72nd St Suite E Tacoma WA 98404-3344 |
| Mailing Address |
1415 E 72nd St Ste E Tacoma WA 98404-5905 |
| Practice Telephone | 2534765110 |
| Practice Fax Number | 2534765111 |
| Mailing Telephone | 2534765110 |
| Mailing Fax Number | 2534765111 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MARK 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 |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE OSCAR/CERTIFICATION | 50-2589 | 01 |
| 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 |
| 1083774483 | Renal Care Group Northwest, Inc. | Clinic/Center | 1872 N 13th Loop Rd, Shelton, WA 98584-2169 | 2006-12-08 |
| 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 |
| 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 |
1415 E 72ND ST SUITE E |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972829422 | Lucrecia Camacho | Massage Therapist | 1415 E 72nd St, Suite C, Tacoma, WA 98404-3344 | 2010-04-08 |
| 1629443296 | Katherine Stevens | Counselor | 1415 E 72nd St, Tacoma, WA 98404-3344 | 2015-12-08 |
| 1144507062 | Franciscan Health System | Clinic/Center | 1415 E 72nd St, Tacoma, WA 98404-3344 | 2011-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| 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 |
|---|---|---|---|---|
| 1013322726 | Total Renal Care Inc | Clinic/Center | 1822 112th Street East, Suite A, Tacoma, WA 98445 | 2014-06-23 |
| 1225456379 | North Little Rock Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-04 |
| 1144423138 | Renal Life Link Inc | Clinic/Center | 3401 S 19th St, Tacoma, WA 98405-1909 | 2007-06-07 |
| 1841736329 | Renal Care Group Northwest, Inc. | Clinic/Center | 5825 Tacoma Mall Blvd, Suite 103, Tacoma, WA 98409-6906 | 2017-01-09 |
| 1386180859 | Renal Care Group Northwest, Inc. | Clinic/Center | 1717 S J St, Tacoma, WA 98405-4933 | 2017-01-09 |
| 1275952004 | Hempstead County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1356760185 | Miller County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1235558073 | Osceola Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1720406721 | Ashley Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-07 |
| 1093133001 | Bradley County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-07 |
| Find all providers in TACOMA | ||||
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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.