Organization
NORTHWEST KIDNEY CENTERS
Active
Parent organization
NORTHWEST KIDNEY CENTERS
Other names
NKC SeaTac Kidney Center, Northwest Kidney Centers dba SeaTac Kidney Center, SeaTac Kidney Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST KIDNEY CENTERS
Authorized official
JENNIFER ESLAVA (CHIEF FINANCIAL OFFICER)
(206) 292-2771
Entity
Organization
Contact information
Practice address
17900 INTERNATIONAL BLVD STE 301, SEATAC, WA 98188-4232
(206) 292-2771
(206) 292-2133
Mailing address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 292-2771
(206) 860-5821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251
REGENCE BLUE SHIELD
WA
05
—
1043264
—
WA
01
—
182
PREMERA BLUE CROSS
WA
Enumeration date
10/03/2006
Last updated
04/04/2025
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