Organization
PACIFIC MEDICAL DIALYSIS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MINN MD (MD)
(855) 621-8250
Entity
Organization
Contact information
Practice address
3020 S UNION AVE, TACOMA, WA 98409-3317
(253) 310-2236
Mailing address
3020 S UNION AVE, TACOMA, WA 98409-3317
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
—
—
163WH0500X
Hemodialysis Registered Nurse
—
—
207RN0300X
Nephrology Physician
Primary
—
—
2472R0900X
Renal Dialysis Technician
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/24/2023
Last updated
11/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us