Olympic Peninsula Kidney Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bremerton, WA
NPI 1437109147 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1437109147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- OLYMPIC PENINSULA KIDNEY CENTER
- Practice address
- 2613 Wheaton Way
Bremerton, WA 98310-3373 - Phone
- (360) 479-5908
- Fax
- (360) 479-5787
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Katrina Ardel Russell, RN, CNN
- Title
- Administrator
- Phone
- (206) 915-9502
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
2613 Wheaton Way
Bremerton, WA 98310-3373
Mailing address
2613 Wheaton Way
Bremerton, WA 98310-3373
Phone (360) 479-5908
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3999109 | Medicaid | WA |
Other providers in Bremerton, WA
- Olympic Internal Medicine Associates, P.L.L.C.
- Olympic Internal Medicine, Inc., P.S.
- Olympic Marmot Healthcare LLC
- Olympic Peaks Optical
- Olympic Peninsula Kidney Center
- Olympic Plastic Surgery Suite
- Olympic Psychiatric & Wellness Center
- Olympic Radiology Associates Inc PS
- Olympic Radiology LLC
- Benjamin Franklin Curativo Ong Jr.
All providers in Bremerton, WA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.