NPIMap

Organization Active NPI

Ehs Kidney Care of Spokane LLC

  • Nephrology Physician
  • Spokane, WA
National Provider Identifier
1700970720
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00039951 Issued in WA
Legal business name
EHS KIDNEY CARE OF SPOKANE LLC
Practice address
801 W 5TH Ave
Suite 309
Spokane, WA 99204-2823
Phone
(509) 473-3790
Fax
(509) 473-3793
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
EMPIRE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mr. Laurance J. Laux
Title
Chief Financial Officer
Phone
(509) 473-7731

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X MD00039951 WA Primary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X MD00041214 WA
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X MD00033309 WA

Addresses

Primary practice location

801 W 5TH Ave
Suite 309
Spokane, WA 99204-2823

Mailing address

801 W 5TH Ave
Suite 309
Spokane, WA 99204-2823
Phone (509) 473-3790

Other identifiers 1

IdentifierTypeStateIssuer
7106933MedicaidWA

Other names 1

  • EHS Kidney Care Spokane Other name

National Provider Directory

National Provider Directory
Part of
Deaconess Valley Urge

Locations

801 W 5th Ave
Ste 309
Spokane, WA 99204
Phone (509) 473-3790

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1700970720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE 309",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-473-3790",
            "fax_number": "509-473-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE 309",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-473-3790",
            "fax_number": "509-473-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHS KIDNEY CARE OF SPOKANE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPIRE HEALTH SERVICES",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "LAUX",
        "authorized_official_first_name": "LAURANCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "509-473-7731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00039951",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00041214",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00033309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHS Kidney Care Spokane",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.