Active NPI
Refuge Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Everett, WA
National Provider Identifier
1194048702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- REFUGE DIALYSIS LLC
- Practice address
- 8130 Evergreen Way
Everett, WA 98203-6419 - Phone
- (425) 353-6036
- Fax
- (425) 353-1210
- NPI assigned
- Mar 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
8130 Evergreen Way
Everett, WA 98203-6419
Mailing address
5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194048702 | Medicaid | WA |
Other names 1
- Everett Dialysis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000799 | WA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2860520525 | Practice locations: Everett, WA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marysville, WA
- NPI 1740696848
2860520525
National Provider Directory
National Provider Directory- Tax ID family
- Everett Dialysis Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Everett, WA
- NPI 1174766299
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marysville, WA
- NPI 1740696848
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Locations
8130 Evergreen Way
Ste C
Everett, WA 98203
Phone (425) 353-6036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1194048702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "ATT: L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036419",
"telephone_number": "425-353-6036",
"fax_number": "425-353-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFUGE DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"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": "1194048702",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Everett Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Everett Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.