Mount Baker Kidney Center, Incorporated

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MOUNT BAKER KIDNEY CENTER, INCORPORATED

Practice address

410 Birchwood Ave
Suite 100
Bellingham, WA 98225-1783

Phone

(360) 734-4243

Fax

(360) 715-9858

NPI assigned

May 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Mark Lehman, MHA, CPA

Title

Cfo

Phone

(800) 525-9059

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330732800000",
    "number": "1114977857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BIRCHWOOD AVE",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251783",
            "telephone_number": "360-734-4243",
            "fax_number": "360-715-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BIRCHWOOD AVE",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251783",
            "telephone_number": "360-734-4243",
            "fax_number": "360-715-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT BAKER KIDNEY CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-03-03",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-525-9059",
        "authorized_official_credential": "MHA, CPA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3999000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy K Mouat-Hunter, MD
• Margaret Moudry, MSW, LICSW
• Kristina Kaye Moulaison, MS
• Lisa Annette Moulds, SUDPT
• Michelle Danette Moulds, OT
• Mount Baker Rheumatology Center PLLC
• Dorothy Fendley Mount, OTR/L
• Esther G Moynahan, LMP
• Olivia Mrdjan
• Ms Erlich MD, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.