NORTHWEST RENAL SVC INC – NPI #1801987797
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

NORTHWEST RENAL SVC INC is a provider located in SPOKANE, WA. NPPES has assigned the NPI number 1801987797 to NORTHWEST RENAL SVC INC on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 NORTHWEST RENAL SVC INC below.

NPI Profile for
NORTHWEST RENAL SVC INC

NPI Number
1801987797
Enumeration Date

(more than 19 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
NORTHWEST RENAL SVC INC
Primary location
801 W 5TH AVE
SUITE 509
SPOKANE, WA 99204
Phone: (509) 744-1500 Fax: (509) 626-5460
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEO OBERMILLER
PRESIDENT
Phone: (509) 744-1500
Updated
Identifiers

Identifiers for NORTHWEST RENAL SVC INC

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
OTHERMEDICAREID1109102
MEDICAIDWA7098122
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
WA

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.