Qualicenters Inland Northwest, LLC

Primary specialty

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

Legal business name

QUALICENTERS INLAND NORTHWEST, LLC

Doing business as

Fresenius Medical Care Longview

Practice address

5616 Ocean Beach Hwy
Suite 260
Longview, WA 98632-6222

Phone

(360) 425-2460

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Medical Care Longview Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1215196787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 OCEAN BEACH HWY",
            "address_2": "SUITE 260",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326222",
            "telephone_number": "360-425-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 OCEAN BEACH HWY",
            "address_2": "SUITE 260",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326222",
            "telephone_number": "360-425-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICENTERS INLAND NORTHWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Longview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alena Prystupa, M.D.
• PT Northwest of Longview Inc
• Kelly Ann Purcell, LMHCA,CAAR
• Mark Steven Purcell, P.T.
• Matthew John Pyrch, PA-C
• William P Quinlan
• Angela Quinn
• Hailie L Rabalais, BA, AAC
• Miah P Radcliff, BAS, R-AAC
• Maycie Radcliffe, MA, LMHCA, AAC, NCC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Longview, WA
• Providers in Longview, 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 Aug 2, 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.