RENAL CARE GROUP NORTHWEST, INC. (NPI# 1386180859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386180859 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP NORTHWEST, INC. |
| Practice Address |
1717 S J St Tacoma WA 98405-4933 |
| Practice Telephone | 2534266688 |
| Practice Fax Number | 2534266915 |
| Mailing Telephone | 2534266688 |
| Mailing Fax Number | 2534266915 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | MARK FAWCETT (SVP /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 | 50-2591 | PTAN | 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 |
1717 S J ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309098 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2005-07-12 |
| 1942814553 | Cydnee Dufenhorst | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4933 | 2020-09-01 |
| 1376156216 | Peter Jorgenson | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4944 | 2020-08-29 |
| 1134741143 | Rainier Pm&r Inc | Physical Medicine & Rehabilitation | 1717 S J St, Tacoma, WA 98405-4933 | 2020-05-13 |
| 1710515978 | Karen Elizabeth Schobert | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2020-03-31 |
| 1053944108 | Nathaniel Ott | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4933 | 2020-02-18 |
| 1932757457 | Dana Alexander Pirolo | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-08-28 |
| 1710539895 | Irina V Zhelez | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-07-09 |
| 1346801818 | Hannah Eunice Baja Esmeralda | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-06-25 |
| 1134786981 | Susanne Clark | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
| 1154867638 | Renal Care Group Northwest, Inc. | Clinic/Center | 1415 E 72nd St, Suite E, Tacoma, WA 98404-3344 | 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.