Puyallup Dialysis

LBN: Total Renal Care Inc
Puyallup Dialysis is an health care organization with primary practice located at 802 30Th Ave Sw , Puyallup WA 98373-2755. 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. Total Renal Care Inc can be contacted via phone (253) 845-3147, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
802 30Th Ave Sw Puyallup WA 98373-2755
Phone: (253) 845-3147
Fax: (253) 845-0833
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1922062066
LBN Legal business name Total Renal Care Inc
DBA Doing business as Puyallup Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 20th, 2024 - about 10 months 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 1922062066 NPPES
Washington MEDICAID 3990751

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