PUGET SOUND KIDNEY CENTERS (NPI# 1528478609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528478609 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND KIDNEY CENTERS |
| Other Organization Name | PSKC MONROE |
| Practice Address |
18121 149th Street Se Monroe WA 98272 |
| Mailing Address |
1019 Pacific Ave Everett WA 98201-4148 |
| Practice Telephone | 4252595195 |
| Mailing Telephone | 4252595195 |
| Mailing Fax Number | 4252594860 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | HAROLD S KELLY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4252595195 |
| 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 |
600401431 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2039843 | 05 | |
| WA | MEDICARE ID-TYPE UNSPECIFIED | 50-2576 | 01 |
| Other Name | Type Code |
|---|---|
| PSKC Monroe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 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 |
| 1295855013 | Puget Sound Kidney Centers | Clinic/Center | 430 Se Midway Blvd, Oak Harbor, WA 98277-5017 | 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND KIDNEY CENTERS | 1019 Pacific Ave, Everett, WA 98201-4148 |
| Street Address |
18121 149TH STREET SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| 1891036315 | Mary E Shockley | Counselor | 12533 Reiner Rd, Monroe, WA 98272 | 2013-03-07 |
| Find all providers in zip 98272 | ||||
| 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 |
|---|---|---|---|---|
| 1568861359 | Total Renal Care Inc | Clinic/Center | 415 S Telegraph Rd, Monroe, MI 48161-1611 | 2014-08-18 |
| 1285988238 | Parker Dialysis LLC | Clinic/Center | 225 Plaza Dr, Monroe, GA 30655-3184 | 2012-10-30 |
| 1912287756 | Fresenius Medical Care Monroe LLC | Clinic/Center | 1710 Southern Avenue, Monroe, LA 71202-4543 | 2011-08-25 |
| 1073625885 | Bio-medical Applications of Georgia Inc. | Clinic/Center | 299 Plaza Dr, Monroe, GA 30655-3184 | 2006-08-31 |
| 1679685408 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1338 E Sunset Dr, Monroe, NC 28112-4323 | 2006-08-31 |
| 1326150160 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1501 Southern Ave, Monroe, LA 71202-4543 | 2006-08-31 |
| 1982716718 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 711 Wood St Ste B, Monroe, LA 71201-7564 | 2006-08-31 |
| 1184739922 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 992 South Monroe St., Monroe, MI 48161 | 2006-08-20 |
| 1104930023 | Nephron Corporation | Clinic/Center | 710 Breedlove Dr, Monroe, GA 30655-2054 | 2006-08-18 |
| 1598774929 | Dialysis of Northern Illinois LLC | Clinic/Center | 114 8th St, Monroe, WI 53566-1050 | 2006-08-05 |
| Find all providers in MONROE | ||||
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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.