NPIMap

Organization Active NPI

Renal Care Consultants PC

  • Specialist
  • Medford, OR
National Provider Identifier
1740344597
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RENAL CARE CONSULTANTS PC
Practice address
760 Golf View Drive
Suite 200
Medford, OR 97504
Phone
(541) 618-4400
Fax
(541) 618-4406
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Jaime Dawn Steenkolk
Title
Administrator
Phone
(541) 842-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

760 Golf View Drive
Suite 200
Medford, OR 97504

Mailing address

760 Golf View Drive
Suite 200
Medford, OR 97504
Phone (541) 618-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000436 OR Part B Supplier - Clinic/Group Practice 9830179134 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Medford, OR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0964906Renal Care Consultants, PC760 Golf View Drive, Unit 200, Medford, OR 97504Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

1055 Redwood Ave
Grants Pass, OR 97527
Phone (541) 476-0291

2421 Washburn Way
Ste B
Klamath Falls, OR 97603
Phone (541) 882-3401

760 Golf View Dr
Medford, OR 97504
Phone (541) 734-7770

760 Golf View Dr
Unit 100
Medford, OR 97504
Phone (541) 776-4805

50 Rossanley Dr
Medford, OR 97501
Phone (541) 414-2437

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1740344597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 GOLF VIEW DRIVE",
            "address_2": "SUITE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-618-4400",
            "fax_number": "541-618-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 GOLF VIEW DRIVE",
            "address_2": "SUITE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-618-4400",
            "fax_number": "541-618-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "STEENKOLK",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-842-9410"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.