PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1073625976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073625976 |
Entity Type | Organization |
Organization Name | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. |
Other Organization Name | PNRS-NORTH COAST DIALYSIS CLINIC |
Practice Address |
632 Marine Dr Astoria OR 97103-5838 |
Practice Telephone | 9716066015 |
Practice Fax Number | 9716066020 |
Mailing Telephone | 9716066015 |
Mailing Fax Number | 9716066020 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-05-27 |
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 |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PNRS-NORTH COAST DIALYSIS CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265855696 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 3921 Sw 13th Ave, Battle Ground, WA 98604-2807 | 2014-01-21 |
1992895494 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 345 Se Norton Ln, Mcminnville, OR 97128-8480 | 2006-10-13 |
1083716401 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 | 2006-09-05 |
1154423317 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 9105a Ne Hwy. 99, Ste. 102, Vancouver, WA 98665 | 2006-09-01 |
1164534061 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 10601 S Walton Rd, La Grande, OR 97850-8488 | 2006-08-31 |
1437261336 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 13560 Se 97th Ave, Clackamas, OR 97015-7691 | 2006-08-31 |
1528170420 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 7780 Sw Mohawk St, Tualatin, OR 97062-9191 | 2006-08-31 |
1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
1255443156 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2824 Ne Wasco St, Portland, OR 97232-1772 | 2006-08-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter Street, Tax Department, Waltham, MA 02451 |
Washington State Corporations | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter St, Waltham, MA 02451-1521 |
Street Address |
632 MARINE DR |
City | ASTORIA |
State | OR |
Zip Code | 97103-5838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
Find all providers in zip 97103 |
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 |
---|---|---|---|---|
1578641494 | Newtown Dialysis Center, Inc | Clinic/Center | 3401 35th Ave, Astoria, NY 11106-1222 | 2006-11-01 |
1013915222 | Newtown Dialysis Center, Inc | Clinic/Center | 2920 Newtown Ave, Astoria, NY 11102-2129 | 2005-07-12 |
1639212939 | Western Queens Dialysis | Clinic/Center | 3401 35th Ave, Astoria, NY 11106-1222 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831652569 | Harpett Dialysis, LLC | Clinic/Center | 61280 Se Coombs Pl, Bend, OR 97702-3704 | 2019-04-10 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1528529989 | Pacific Dialysis LLC | Clinic/Center | 1935 Thompson Rd, Coos Bay, OR 97420-2040 | 2019-03-28 |
1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
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.