Northwest Renal Services Inc
LBN: Northwest Renal Services Inc
Northwest Renal Services Inc is an health care organization with primary practice located at 801 W 5Th Ave Suite #323, Spokane WA 99204-2823. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Northwest Renal Services Inc can be contacted via phone (509) 744-1500, or through Obermiller, Leo Eugene via phone (509) 744-1500.
Contact Information
Primary practice address
801 W 5Th Ave Suite #323
Spokane WA 99204-2823
Phone: (509) 744-1500
Fax: (509) 626-5460
Website:
Authorized official contact:
Name: Obermiller, Leo Eugene Doctor of Medicine (MD)
Phone: (509) 744-1500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 601983029 | Washington |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 601983029 | Washington |
Profile Details
| NPI number | 1629291273 |
|---|---|
| LBN Legal business name | Northwest Renal Services Inc |
| DBA Doing business as | |
| Authorized official | Obermiller, Leo Eugene Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jan 19th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629291273 | NPPES |
| Other | 010100010060 | REGENCE BLUE SHIELD OF ID | |
| MEDICAID | 7098122 | REGENCE BLUE SHIELD OF ID |
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