Northwest Renal Svc Inc

LBN: Northwest Renal Svc Inc
Northwest Renal Svc Inc is an health care organization with primary practice located at 801 W 5Th Ave Suite 509, Spokane WA 99204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Northwest Renal Svc 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 509 Spokane WA 99204
Phone: (509) 744-1500
Fax: (509) 626-5460
Website:
Map and Directions
Authorized official contact:
Name: Obermiller, Leo Eugene Doctor of Medicine (MD)
Phone: (509) 744-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Washington

Profile Details

NPI number 1801987797
LBN Legal business name Northwest Renal Svc Inc
DBA Doing business as
Authorized official Obermiller, Leo Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801987797 NPPES
Idaho Other 1109102 MEDICARE
Idaho MEDICAID 7098122 MEDICARE

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