RENAL CARE GROUP NORTHWEST, INC. (NPI# 1801986302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801986302 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP NORTHWEST, INC. |
| Other Organization Name | OLYMPIA HOME |
| Practice Address |
719 Sleater Kinney Rd Se Suite 152 Lacey WA 98503-1147 |
| Practice Telephone | 3604593111 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OLYMPIA HOME | 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 |
| 1083774483 | Renal Care Group Northwest, Inc. | Clinic/Center | 1872 N 13th Loop Rd, Shelton, WA 98584-2169 | 2006-12-08 |
| 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 |
719 SLEATER KINNEY RD SE SUITE 152 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073717799 | Clara Winona Brannan | Dentist | 719 Sleater Kinney Rd Se, Suite 130, Lacey, WA 98503-1147 | 2007-06-14 |
| 1245308410 | David P Ragsdale | Dentist | 719 Sleater Kinney Rd Se, Suite 130, Lacey, WA 98503 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
|---|---|---|---|---|
| 1588087233 | Renal Care Group Northwest, Inc. | Clinic/Center | 8770 Tallon Ln Ne, Lacey, WA 98516-6642 | 2014-01-31 |
| 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.