Olympic Peninsula Kidney Center South

LBN: Olympic Peninsula Kidney Center
Olympic Peninsula Kidney Center South is an health care organization with primary practice located at 450 S Kitsap Blvd Suite 178, Port Orchard WA 98366-3773. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Olympic Peninsula Kidney Center can be contacted via phone (360) 895-7795, or through Russell, Katrina Ardel via phone (206) 915-9502.

Contact Information

Primary practice address
450 S Kitsap Blvd Suite 178 Port Orchard WA 98366-3773
Phone: (360) 895-7795
Fax: (360) 895-7835
Website:
Map and Directions
Authorized official contact:
Name: Russell, Katrina Ardel RN, CNN
Phone: (206) 915-9502

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1386694099
LBN Legal business name Olympic Peninsula Kidney Center
DBA Doing business as Olympic Peninsula Kidney Center South
Authorized official Russell, Katrina Ardel RN, CNN
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Dec 15th, 2009 - about 16 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 1386694099 NPPES
Washington MEDICAID 3999109

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