FRESENIUS KIDNEY CARE SKAGIT VALLEY – NPI #1295203370
Clinic/Center

FRESENIUS KIDNEY CARE SKAGIT VALLEY is an AHC clinic located in MOUNT VERNON, WA. NPPES has assigned the NPI number 1295203370 to FRESENIUS KIDNEY CARE SKAGIT VALLEY on November 07, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS KIDNEY CARE SKAGIT VALLEY” is a dba name, the actual legal business name for this organization is RENAL CARE GROUP NORTHWEST, INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Oct 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESENIUS KIDNEY CARE SKAGIT VALLEY below.

NPI Profile for
RENAL CARE GROUP NORTHWEST, INC.

NPI Number
1295203370
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAL CARE GROUP NORTHWEST, INC.
Doing Business As (dba): FRESENIUS KIDNEY CARE SKAGIT VALLEY
Primary location
208 HOSPITAL PKWY
STE A
MOUNT VERNON, WA 98273-0000
Phone: (360) 336-2978 Fax: (360) 336-9151
Mailing address
Same as primary location
Organization Subpart
Yes - FRESENIUS KIDNEY CARE SKAGIT VALLEY is subpart of another organization.
Authorized Official
BARRY BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Updated
Certification Date
Oct 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FRESENIUS KIDNEY CARE SKAGIT VALLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPTANWA50-3505
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669