PUGET SOUND KIDNEY CENTERS


Address: 430 Se Midway Blvd, Oak Harbor, WA 98277-5017
Phone: 3606796706

PUGET SOUND KIDNEY CENTERS (NPI# 1295855013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295855013
Entity Type Organization
Organization Name PUGET SOUND KIDNEY CENTERS
Other Organization Name PSKC - WHIDBEY ISLAND
Practice Address 430 Se Midway Blvd
Oak Harbor
WA 98277-5017
Mailing Address 1005 Pacific Ave
Everett
WA 98201-4148
Practice Telephone 3606796706
Practice Fax Number 3606796957
Mailing Telephone 4252595195
Mailing Fax Number 4252594890
Enumeration Date 2007-03-29
Last Update Date 2008-02-05
Authorized Official Name HAROLD S KELLY (PRESIDENT & CEO)
Authorized Official Telephone 4252595195
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 3144805 05

Other Provider/Organization Names

Other Name Type Code
PSKC - WHIDBEY ISLAND Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1528478609 Puget Sound Kidney Centers Clinic/Center 18121 149th Street Se, Monroe, WA 98272 2014-04-29
1073939062 Puget Sound Kidney Centers Clinic/Center 809 31st St, Anacortes, WA 98221 2014-03-14
1093835811 Puget Sound Kidney Centers Clinic/Center 21309 44th Ave W, Mountlake Terrace, WA 98043-3507 2007-03-29
1386764009 Puget Sound Kidney Centers Clinic/Center 18828 Smokey Point Blvd, Arlington, WA 98223-8266 2007-03-29
1053357434 Puget Sound Kidney Centers Clinic/Center 1005 Pacific Ave, Everett, WA 98201-4148 2006-06-22

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PUGET SOUND KIDNEY CENTERS 1019 Pacific Ave, Everett, WA 98201-4148

Office Location

Street Address 430 SE MIDWAY BLVD
City OAK HARBOR
State WA
Zip Code 98277-5017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952951782 Amber Dorothy Rettus Counselor 31640 Wa -20 #1, Oak Harbor, WA 98277 2019-09-13
1528612082 Grace Alfery Finnell Pharmacist 31645 Sr 20, Oak Harbor, WA 98277 2019-08-01
1407321839 Leah Marie Threats Behavior Technician Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 2018-10-12
1285115329 Jared M Wirth Dentist 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 2018-08-27
1952896854 Makella Ann Mccormack Behavior Technician 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 2018-06-25
1972004703 Sophia Kaye Johnson Counselor 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 2018-02-27
1043728827 Lance D Keyes Dds Dentist 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 2018-01-16
1689195075 Laboratory Corporation of America Clinical Medical Laboratory 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 2017-07-06
1841723368 Stephanie Bailey Behavioral Analyst 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 2017-04-11
1336684463 Angel Lyn Faith Camello Behavior Technician 31955 State Route 20, #3, Oak Harbor, WA 98277 2016-12-28
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831320753 Total Renal Care Inc Clinic/Center 32650 State Road 20, Building D; Suite 101, Oak Harbor, WA 98277-2641 2009-07-28

Providers in the same taxonomy and state

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
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Competitor

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City OAK HARBOR
Zip Code 98277

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Dataset Information

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.

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