RENAL CARE GROUP NORTHWEST, INC. (NPI# 1528504099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528504099 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP NORTHWEST, INC. |
| Practice Address |
4700 Point Fosdick Dr Nw Ste 101 Gig Harbor WA 98335-1706 |
| Practice Telephone | 2534852965 |
| Practice Fax Number | 2538532966 |
| Mailing Telephone | 2534852965 |
| Mailing Fax Number | 2538532966 |
| 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 | 50-2588 | 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 |
| 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 |
4700 POINT FOSDICK DR NW STE 101 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98335-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749701 | Jeffrey S Rose | Internal Medicine | 4700 Point Fosdick Dr Nw, Ste 203b, Gig Harbor, WA 98335-1706 | 2005-06-13 |
| 1205351483 | Benjamin Troy Gilkison | Physical Therapist | 4700 Point Fosdick Dr Nw, Gig Harbor, WA 98335-1706 | 2017-08-08 |
| 1679011654 | Matthew Webber | Nurse Practitioner | 4700 Point Fosdick Dr Nw, Ste 202, Gig Harbor, WA 98335-1706 | 2017-02-09 |
| 1437501699 | Kimberly Roberts | Nurse Practitioner | 4700 Point Fosdick Dr Nw, Suite 220, Gig Harbor, WA 98335-1706 | 2016-07-12 |
| 1790137776 | Molly Cheshire | Audiologist | 4700 Point Fosdick Dr Nw, Suite 212, Gig Harbor, WA 98335-1706 | 2016-07-01 |
| 1336594472 | Amber Glass | Pharmacist | 4700 Point Fosdick Dr Nw, Suite 120, Gig Harbor, WA 98335-1706 | 2016-04-26 |
| 1326424714 | Sarah Larson | Nurse Practitioner | 4700 Point Fosdick Dr Nw, Suite 102, Gig Harbor, WA 98335-1706 | 2015-08-07 |
| 1144500836 | Franciscan Medical Group | Internal Medicine | 4700 Point Fosdick Dr Nw, #308, Gig Harbor, WA 98335-1706 | 2011-08-25 |
| 1669751467 | Jennifer Lynn Kummerfeldt | Nurse Practitioner | 4700 Point Fosdick Dr Nw, #220, Gig Harbor, WA 98335-1706 | 2011-08-10 |
| 1003101213 | Jeffrey Bond | Pharmacist | 4700 Point Fosdick Dr Nw, Suite 120, Gig Harbor, WA 98335-1706 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607191 | Nw Iom LLC | Specialist/Technologist, Other | 8014 Warren Dr Nw, Gig Harbor, WA 98335 | 2019-03-11 |
| 1760949432 | Mary Patricia Lancefield | Social Worker | Chi Franciscan Health Syste, Ms 53-50, 11567 Canterwood Blvd Nw, Gig Harbor, WA 98335 | 2019-02-28 |
| 1225512312 | Patricia Milligan | Counselor | 3214 50th St Ct Nw Suite 205-c, Gig Harbor, WA 98335 | 2018-09-24 |
| 1164918579 | Communication Therapies LLC | Clinic/Center | 3206 50th St Ct Nw Ste A105, Ste A105, Gig Harbor, WA 98335 | 2018-07-09 |
| 1821503764 | Ashley Ruiz | Social Worker | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335 | 2017-12-13 |
| 1356855076 | Cristie Leigh Campbell | Massage Therapist | 7700 Pioneer Way, Suite 101, Gig Harbor, WA 98335 | 2017-11-17 |
| 1053837856 | Gig Harbor Medical Supplies | Durable Medical Equipment & Medical Supplies | 4810 Pt, Fosdick Dr. Nw, Gig Harbor, WA 98335 | 2017-08-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1144616848 | A Positive Change | Community/Behavioral Health | 5262 Olympic Drive Suite C, Gig Harbor, WA 98335 | 2015-04-09 |
| Find all providers in zip 98335 | ||||
| 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 |
|---|---|---|---|---|
| 1477579670 | Franciscan Health System | Clinic/Center | 4700 Point Fosdick Dr Nw Ste 101, Gig Harbor, WA 98335-1706 | 2006-07-14 |
| 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 | GIG HARBOR |
| Zip Code | 98335 |
Please comment or provide details below to improve the information on RENAL CARE GROUP NORTHWEST, INC..
| 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.